Provider Demographics
NPI:1558935098
Name:BARROS PEREZ, MARIA FERNANDA (MD)
Entity Type:Individual
Prefix:MISS
First Name:MARIA
Middle Name:FERNANDA
Last Name:BARROS PEREZ
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 1:1901 FIRST AVENUE
Mailing Address - Street 2:ROOM 523
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029
Mailing Address - Country:US
Mailing Address - Phone:212-423-7834
Mailing Address - Fax:
Practice Address - Street 1:1901 FIRST AVENUE
Practice Address - Street 2:ROOM 523
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029
Practice Address - Country:US
Practice Address - Phone:212-423-7834
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-19
Last Update Date:2023-04-03
Deactivation Date:2023-03-27
Deactivation Code:
Reactivation Date:2023-04-03
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program