Provider Demographics
NPI:1437526993
Name:FORT LAUDERDALE NEPHROLOGY AND HYPERTENSION
Entity Type:Organization
Organization Name:FORT LAUDERDALE NEPHROLOGY AND HYPERTENSION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRERO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-958-7576
Mailing Address - Street 1:5700 N FEDERAL HWY
Mailing Address - Street 2:SUITE 6
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-2600
Mailing Address - Country:US
Mailing Address - Phone:954-958-7576
Mailing Address - Fax:
Practice Address - Street 1:5700 N FEDERAL HWY
Practice Address - Street 2:SUITE 6
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-2600
Practice Address - Country:US
Practice Address - Phone:954-958-7576
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-31
Last Update Date:2015-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9308369261QE0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment