Provider Demographics
NPI:1841371093
Name:BARRERA, CARLOS MORTON (MD)
Entity type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:MORTON
Last Name:BARRERA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8000 SW 69 TERRACE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-2605
Mailing Address - Country:US
Mailing Address - Phone:305-596-7265
Mailing Address - Fax:
Practice Address - Street 1:7190 SW 87TH AVE STE 306
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-2512
Practice Address - Country:US
Practice Address - Phone:305-274-4339
Practice Address - Fax:305-274-6152
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0065963207RP1001X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL375879600Medicaid
25192Medicare ID - Type Unspecified
FL375879600Medicaid