Provider Demographics
NPI:1811624703
Name:BARRIOS GONZALEZ, MIRLAYS (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:MIRLAYS
Middle Name:
Last Name:BARRIOS GONZALEZ
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2055 SE 19TH ST
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33035-1983
Mailing Address - Country:US
Mailing Address - Phone:786-374-5732
Mailing Address - Fax:
Practice Address - Street 1:2055 SE 19TH ST
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33035-1983
Practice Address - Country:US
Practice Address - Phone:786-374-5732
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-02
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11020319363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily