Provider Demographics
NPI:1477500833
Name:BARRIOS, ROSALIE E (MD)
Entity Type:Individual
Prefix:MRS
First Name:ROSALIE
Middle Name:E
Last Name:BARRIOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COND PAISAJES DEL ESCORIALD
Mailing Address - Street 2:STE, 1106
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987-4881
Mailing Address - Country:US
Mailing Address - Phone:787-257-8894
Mailing Address - Fax:
Practice Address - Street 1:ASEM CARRETERA 22, BO. MONACILLOS
Practice Address - Street 2:1ER PISO EDIF. CENTRAL
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00935-0001
Practice Address - Country:US
Practice Address - Phone:787-777-3708
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13749207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0021205Medicare ID - Type Unspecified
PRH80206Medicare UPIN