Provider Demographics
NPI:1417347881
Name:EUGENIO R. BARBOSA, MD, PSC
Entity Type:Organization
Organization Name:EUGENIO R. BARBOSA, MD, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:EUGENIO
Authorized Official - Middle Name:R
Authorized Official - Last Name:BARBOSA DEL VALLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-277-5477
Mailing Address - Street 1:1476 AVE SAN IGNACIO
Mailing Address - Street 2:ALTAMESA
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00921-4739
Mailing Address - Country:US
Mailing Address - Phone:787-277-5477
Mailing Address - Fax:
Practice Address - Street 1:405 AVE ESMERALDA
Practice Address - Street 2:PMB - 166 SUITE 2
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-4482
Practice Address - Country:US
Practice Address - Phone:787-277-5477
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-23
Last Update Date:2015-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center