Healthcare Provider Details

I. General information

NPI: 1841072402
Provider Name (Legal Business Name): CHRISTIAN BARRETO DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: CHRISTIAN BARRETO DC

II. Dates (important events)

Enumeration Date: 10/18/2023
Last Update Date: 10/18/2023
Certification Date: 10/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

C67 GEORGETTI, CII LA CATALANA
BARCELONETA PR
00617
US

IV. Provider business mailing address

HC 1 BOX 2512
FLORIDA PR
00650-9607
US

V. Phone/Fax

Practice location:
  • Phone: 787-623-2526
  • Fax:
Mailing address:
  • Phone: 787-613-3101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number929
License Number StatePR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: