Provider Demographics
NPI:1407558299
Name:BARCIELA PEREZ, GABRIEL JOSE (MD)
Entity Type:Individual
Prefix:
First Name:GABRIEL
Middle Name:JOSE
Last Name:BARCIELA PEREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11880 BIRD RD.
Mailing Address - Street 2:STE 101
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-3573
Mailing Address - Country:US
Mailing Address - Phone:305-485-4677
Mailing Address - Fax:
Practice Address - Street 1:11880 BIRD RD.
Practice Address - Street 2:STE 101
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-3573
Practice Address - Country:US
Practice Address - Phone:305-485-4677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-17
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program