Provider Demographics
NPI:1598737561
Name:BARRIENTOS, GUADALUPE JR (RN)
Entity Type:Individual
Prefix:
First Name:GUADALUPE
Middle Name:
Last Name:BARRIENTOS
Suffix:JR
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 E. RIDGE ROAD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503
Mailing Address - Country:US
Mailing Address - Phone:956-630-5522
Mailing Address - Fax:956-926-4350
Practice Address - Street 1:500 E. RIDGE ROAD
Practice Address - Street 2:SUITE 300
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503
Practice Address - Country:US
Practice Address - Phone:956-630-5522
Practice Address - Fax:956-926-4350
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX249763163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse