Provider Demographics
NPI:1447795968
Name:BARRERA, DAYNER
Entity Type:Individual
Prefix:
First Name:DAYNER
Middle Name:
Last Name:BARRERA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:371 PARK ST
Mailing Address - Street 2:APT C
Mailing Address - City:MIAMI SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-5267
Mailing Address - Country:US
Mailing Address - Phone:786-447-5431
Mailing Address - Fax:
Practice Address - Street 1:371 PARK ST
Practice Address - Street 2:APT C
Practice Address - City:MIAMI SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33166-5267
Practice Address - Country:US
Practice Address - Phone:786-447-5431
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-20
Last Update Date:2016-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator