Provider Demographics
NPI:1023704301
Name:BARRERAS PESTANA, LEUMAN MANUEL (DDS)
Entity type:Individual
Prefix:DR
First Name:LEUMAN
Middle Name:MANUEL
Last Name:BARRERAS PESTANA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:LEUMAN
Other - Middle Name:
Other - Last Name:BARRERAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:8801 S BERMUDA DR
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-2509
Mailing Address - Country:US
Mailing Address - Phone:786-541-6292
Mailing Address - Fax:
Practice Address - Street 1:750 E 25TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013-3817
Practice Address - Country:US
Practice Address - Phone:305-694-5400
Practice Address - Fax:305-694-5400
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-11
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN301831223G0001X
FLDRPM25731223G0001X
FLDH29444124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No124Q00000XDental ProvidersDental Hygienist