Provider Demographics
NPI:1922786771
Name:BARRERA CHAPARRO, MAGDA (DMD)
Entity Type:Individual
Prefix:DR
First Name:MAGDA
Middle Name:
Last Name:BARRERA CHAPARRO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 NE 191ST ST APT 602
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-2442
Mailing Address - Country:US
Mailing Address - Phone:305-206-8119
Mailing Address - Fax:
Practice Address - Street 1:2999 NE 191ST ST STE 210
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-3115
Practice Address - Country:US
Practice Address - Phone:305-935-4991
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-10
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN27930122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist