Healthcare Provider Details

I. General information

NPI: 1609597335
Provider Name (Legal Business Name): BARRIO HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2022
Last Update Date: 09/30/2023
Certification Date: 09/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3112 N COUNTRY CLUB RD
TUCSON AZ
85716-1613
US

IV. Provider business mailing address

3112 N COUNTRY CLUB RD
TUCSON AZ
85716-1613
US

V. Phone/Fax

Practice location:
  • Phone: 520-869-3565
  • Fax: 833-471-2668
Mailing address:
  • Phone: 520-869-3565
  • Fax: 405-297-4928

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. ANGELICA MARIA HIBBS
Title or Position: DIRECTOR
Credential: FNP
Phone: 520-869-3565