Provider Demographics
NPI:1376953562
Name:ALEX BARROCAS MD PA
Entity Type:Organization
Organization Name:ALEX BARROCAS MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:BARROCAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-408-3121
Mailing Address - Street 1:9420 PARK DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI SHORES
Mailing Address - State:FL
Mailing Address - Zip Code:33138-2744
Mailing Address - Country:US
Mailing Address - Phone:786-406-3121
Mailing Address - Fax:
Practice Address - Street 1:9420 PARK DR
Practice Address - Street 2:
Practice Address - City:MIAMI SHORES
Practice Address - State:FL
Practice Address - Zip Code:33138-2744
Practice Address - Country:US
Practice Address - Phone:786-408-3121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-28
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1033352085N0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiologyGroup - Single Specialty