Provider Demographics
NPI:1598883258
Name:BARRETO, SHEILA (MT)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:
Last Name:BARRETO
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 VILLAS DE SOTOMAYOR
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00602
Mailing Address - Country:UM
Mailing Address - Phone:787-826-7662
Mailing Address - Fax:787-826-7662
Practice Address - Street 1:35 VILLAS DE SOTOMAYOR
Practice Address - Street 2:
Practice Address - City:AGUADA
Practice Address - State:PR
Practice Address - Zip Code:00602-2628
Practice Address - Country:US
Practice Address - Phone:787-826-7662
Practice Address - Fax:787-826-7662
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5983246QM0706X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0031500Medicare ID - Type Unspecified