Provider Demographics
NPI:1467647370
Name:BARRETO, JOSE EMILIO (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:EMILIO
Last Name:BARRETO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:12617 NARCOOSSEE RD STE 300
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32832-7147
Mailing Address - Country:US
Mailing Address - Phone:407-270-7900
Mailing Address - Fax:407-270-7339
Practice Address - Street 1:12617 NARCOOSSEE RD STE 300
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32832-7147
Practice Address - Country:US
Practice Address - Phone:407-270-7900
Practice Address - Fax:407-270-7339
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-13
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR26,507-R208100000X
VA0116024102390200000X
FLME125192208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program