Provider Demographics
NPI:1508418807
Name:BARREIRO, ANGEL RAFAEL (NL)
Entity Type:Individual
Prefix:DR
First Name:ANGEL
Middle Name:RAFAEL
Last Name:BARREIRO
Suffix:
Gender:M
Credentials:NL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 78
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-0078
Mailing Address - Country:US
Mailing Address - Phone:787-810-0259
Mailing Address - Fax:
Practice Address - Street 1:73 CALLE PADIAL
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-3652
Practice Address - Country:US
Practice Address - Phone:787-410-0259
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-16
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath