Individual
ANGEL GUSTAVO BARRERA VENTURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7679
(718) 590-1800
Mailing address
6611 CHESTNUT AVE, LANHAM, MD 20706-1025
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
000000
NY
Other
Enumeration date
08/03/2017
Last updated
06/28/2024
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