Individual
JEANNETTE BARRUETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
6200 SW 73RD ST, SOUTH MIAMI, FL 33143-4679
(786) 662-8181
Mailing address
2643 NATOMA ST, MIAMI, FL 33133-2425
(786) 252-2401
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME96958
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114558
—
AZ
Enumeration date
05/09/2006
Last updated
06/25/2010
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