Healthcare Provider Details

I. General information

NPI: 1235188434
Provider Name (Legal Business Name): ALEX MARCOS BARROCAS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2006
Last Update Date: 05/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7101 SW 99TH AVE SUITE 106
MIAMI FL
33173-4661
US

IV. Provider business mailing address

151 CRANDON BLVD #631
KEY BISCAYNE FL
33149-1573
US

V. Phone/Fax

Practice location:
  • Phone: 305-596-9992
  • Fax: 305-596-0942
Mailing address:
  • Phone: 305-753-1262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License NumberME 103335
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number226101
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberME 103335
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: