Individual
MRS. SANDRA IVETTE BARRETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
CARR 2 KM 126.4, BO CAIMITAL BAJO, AGUADILLA, PR 00603
(787) 882-3230
Mailing address
PO BOX 1232, AGUADA, PR 00602-1232
(787) 598-4298
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
00735
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00735
PTA
PR
05
—
00735
—
PR
Enumeration date
04/30/2019
Last updated
04/30/2019
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