Provider Demographics
NPI:1952792897
Name:YANIER BARRIOS
Entity Type:Organization
Organization Name:YANIER BARRIOS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSR
Authorized Official - Prefix:
Authorized Official - First Name:YANIER
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRIOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-263-1325
Mailing Address - Street 1:5719 VISTA LINDA DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-2322
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5719 VISTA LINDA DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-2322
Practice Address - Country:US
Practice Address - Phone:321-263-1325
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-13
Last Update Date:2015-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health