MEDICARE: JUAN CARLOS BARRIGA MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician
2	207RP1001X	Pulmonary Disease Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	DA5797	OTHER	TX	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	0032PY	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1184611782
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JUAN CARLOS BARRIGA MD PA

Provider Business Mailing Address
First Line	:	746 COLUMBIA ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-1635
Country	:	US
Telephone Number	:	713-426-5864
Fax Number	:	713-869-3716

Provider Business Practice Location Address
First Line	:	720 W 11TH ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-6714
Country	:	US
Telephone Number	:	713-426-5864
Fax Number	:	713-869-3716

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JUAN CARLOS BARRIGA
Credential	:	M.D.
Telephone Number	:	713-426-5864

Provider Enumeration Date	:	09/29/2005
Last Update Date	:	08/05/2013

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