Healthcare Provider Details

I. General information

NPI: 1841126901
Provider Name (Legal Business Name): JUAN M BARREIRO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15023 SW 11TH LN
MIAMI FL
33194-2549
US

IV. Provider business mailing address

15023 SW 11TH LN
MIAMI FL
33194-2549
US

V. Phone/Fax

Practice location:
  • Phone: 786-334-9355
  • Fax:
Mailing address:
  • Phone: 786-334-9355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835C0207X
TaxonomyCompounded Sterile Preparations Pharmacist
License NumberPS66405
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS66405
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: