Provider Demographics
NPI:1447417175
Name:BARRERO, JORGE JAIME (MD)
Entity Type:Individual
Prefix:DR
First Name:JORGE
Middle Name:JAIME
Last Name:BARRERO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5700 N FEDERAL HWY
Mailing Address - Street 2:SUITE 6
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-2600
Mailing Address - Country:US
Mailing Address - Phone:954-958-7576
Mailing Address - Fax:954-958-7579
Practice Address - Street 1:5700 N FEDERAL HWY
Practice Address - Street 2:SUITE 6
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-2600
Practice Address - Country:US
Practice Address - Phone:954-958-7576
Practice Address - Fax:965-958-7579
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-20
Last Update Date:2015-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME112050207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology