Provider Demographics
NPI:1841072402
Name:BARRETO, CHRISTIAN (DC)
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:
Last Name:BARRETO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:CHRISTIAN
Other - Middle Name:
Other - Last Name:BARRETO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:HC 1 BOX 2512
Mailing Address - Street 2:
Mailing Address - City:FLORIDA
Mailing Address - State:PR
Mailing Address - Zip Code:00650-9607
Mailing Address - Country:US
Mailing Address - Phone:787-613-3101
Mailing Address - Fax:
Practice Address - Street 1:C67 GEORGETTI, CII LA CATALANA
Practice Address - Street 2:
Practice Address - City:BARCELONETA
Practice Address - State:PR
Practice Address - Zip Code:00617
Practice Address - Country:US
Practice Address - Phone:787-623-2526
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-18
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR929111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor