Healthcare Provider Details

I. General information

NPI: 1619897246
Provider Name (Legal Business Name): ANGEL BARRIOS PSYCHIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 BISCAYNE BLVD STE 203
MIAMI FL
33137-3255
US

IV. Provider business mailing address

13949 SW 150TH CT
MIAMI FL
33196-5038
US

V. Phone/Fax

Practice location:
  • Phone: 786-402-1362
  • Fax:
Mailing address:
  • Phone: 786-402-1362
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ANGEL BARRIOS
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 786-402-1362