Provider Demographics
NPI:1952521734
Name:RAFAEL A. BARRIAL, MD, PA
Entity type:Organization
Organization Name:RAFAEL A. BARRIAL, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RAFAEL
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:BARRIAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-860-8210
Mailing Address - Street 1:3661 S MIAMI AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-4236
Mailing Address - Country:US
Mailing Address - Phone:305-860-8210
Mailing Address - Fax:305-860-9861
Practice Address - Street 1:3661 S MIAMI AVE STE 104
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-4206
Practice Address - Country:US
Practice Address - Phone:305-860-8210
Practice Address - Fax:305-860-9861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0401333OtherMEDICARE UHC
FL6521116206OtherBEECHSTREET
FL041572OtherNHP
2297487OtherCIGNA
107769OtherHUMANA
FL2599629OtherAETNA
58981OtherBCBS
FL259820500Medicaid
FLME0077927OtherMEDICAL LICENSE
278587OtherAVMED
278587OtherAVMED
FL041572OtherNHP
58981OtherBCBS
FLME0077927OtherMEDICAL LICENSE
107769OtherHUMANA