Individual
MR. CARLOS OCTAVIO BARRERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
1501 DIVISION ST, BALTIMORE, MD 21217-3121
(410) 383-8300
(410) 383-3160
Mailing address
4210 CRYSTAL CT UNIT 2B, HAMPSTEAD, MD 21074-3159
(443) 939-9080
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R208221
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
777962300
—
MD
Enumeration date
04/15/2019
Last updated
11/19/2019
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