Provider Demographics
NPI:1336437086
Name:BARRIOS, RONALD (LMT)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:
Last Name:BARRIOS
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8425 NW 8TH ST APT 306
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3773
Mailing Address - Country:US
Mailing Address - Phone:305-364-5409
Mailing Address - Fax:305-364-5410
Practice Address - Street 1:8425 NW 8TH ST APT 306
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-3773
Practice Address - Country:US
Practice Address - Phone:305-364-5409
Practice Address - Fax:305-364-5410
Is Sole Proprietor?:No
Enumeration Date:2011-07-15
Last Update Date:2011-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist