Individual
MR. JUAN CARLOS BARRIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
13260 SW 205TH LN, MIAMI, FL 33177-6179
(305) 562-9195
(305) 969-4793
Mailing address
13260 SW 205TH LN, MIAMI, FL 33177-6179
(305) 562-9195
(305) 969-4793
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
MA66880
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA66880
MA66880
FL
Enumeration date
03/19/2012
Last updated
03/19/2012
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