Healthcare Provider Details

I. General information

NPI: 1356599088
Provider Name (Legal Business Name): JESSICA MARIE BARRIOS-RAMOS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/06/2008
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5413 GEORGE ST
NEW PORT RICHEY FL
34652-4101
US

IV. Provider business mailing address

5413 GEORGE ST
NEW PORT RICHEY FL
34652-4101
US

V. Phone/Fax

Practice location:
  • Phone: 727-494-7031
  • Fax: 727-494-7026
Mailing address:
  • Phone: 726-494-7031
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberACN1733
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number17327
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: