Provider Demographics
NPI:1518920594
Name:BARBOSA, JOSE F (DMD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:F
Last Name:BARBOSA
Suffix:
Gender:M
Credentials:DMD
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 341
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-0341
Mailing Address - Country:US
Mailing Address - Phone:787-279-6007
Mailing Address - Fax:787-799-5301
Practice Address - Street 1:BO BUENA VISTA CARR 167 KM 14.0
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00957
Practice Address - Country:US
Practice Address - Phone:787-279-6007
Practice Address - Fax:787-799-5301
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-10
Last Update Date:2013-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice