Healthcare Provider Details

I. General information

NPI: 1932236601
Provider Name (Legal Business Name): CONCEPCION BARRETO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CONCEPCION BARRETO-CUEVAS M.D.

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 07/21/2022
Certification Date: 12/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 RUBY AVE STE A
KISSIMMEE FL
34741-5698
US

IV. Provider business mailing address

1178 PINEAPPLE WAY
KISSIMMEE FL
34741-6705
US

V. Phone/Fax

Practice location:
  • Phone: 407-933-1847
  • Fax: 407-933-1849
Mailing address:
  • Phone: 787-567-7805
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number7932
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberACN738
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberACN738
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number7932
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number7932
License Number StatePR
# 6
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number7932
License Number StatePR
# 7
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License NumberACN738
License Number StateFL
# 8
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number7932
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: