MEDICARE: JUAN CARLOS BARRANCO

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	367500000X	Certified Registered Nurse Anesthetist	808778-01	NY
2	367500000X	Certified Registered Nurse Anesthetist	RN2352141	MA

General Provider Information

NPI Number	:	1588304968
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUAN CARLOS BARRANCO

Provider Business Mailing Address
First Line	:	75 FRANCIS ST
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02115-6110
Country	:	US
Telephone Number	:	617-983-7972
Fax Number	:

Provider Business Practice Location Address
First Line	:	55 FOGG RD
Second Line	:
City	:	WEYMOUTH
State	:	MA
Zip	:	02190-2432
Country	:	US
Telephone Number	:	781-624-8000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2022
Last Update Date	:	04/06/2026

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Directions to “ JUAN CARLOS BARRANCO ” Practice Location

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