Provider Demographics
NPI:1831584721
Name:JORGE L. BARBEITO M.D. P.A.
Entity type:Organization
Organization Name:JORGE L. BARBEITO M.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D./OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:L
Authorized Official - Last Name:BARBEITO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-826-1133
Mailing Address - Street 1:259 E 49TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33013-1854
Mailing Address - Country:US
Mailing Address - Phone:305-826-1133
Mailing Address - Fax:305-557-7459
Practice Address - Street 1:259 E 49TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013-1854
Practice Address - Country:US
Practice Address - Phone:305-826-1133
Practice Address - Fax:305-557-7459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-30
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME44619207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty