Provider Demographics
NPI:1982701702
Name:BARCALA, ROBERTO P (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERTO
Middle Name:P
Last Name:BARCALA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4210 NW 4TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-5427
Mailing Address - Country:US
Mailing Address - Phone:305-444-1210
Mailing Address - Fax:305-442-1488
Practice Address - Street 1:4210 NW 4TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-5427
Practice Address - Country:US
Practice Address - Phone:305-444-1210
Practice Address - Fax:305-442-1488
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 34003207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME 34003OtherFLORIDA MEDICAL LISENCE