MEDICARE: GERARD JOHN BARRIOS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	ME15652	FL
2	207R00000X	Internal Medicine Physician	ME15652	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104811306
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GERARD JOHN BARRIOS M.D.

Provider Business Mailing Address
First Line	:	3181 CORAL WAY
Second Line	:	5TH FLOOR
City	:	CORAL GABLES
State	:	FL
Zip	:	33145-3216
Country	:	US
Telephone Number	:	305-858-3494
Fax Number	:	305-285-7372

Provider Business Practice Location Address
First Line	:	3181 CORAL WAY
Second Line	:	5TH FLOOR
City	:	CORAL GABLES
State	:	FL
Zip	:	33145-3216
Country	:	US
Telephone Number	:	305-858-3494
Fax Number	:	305-444-0780

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2005
Last Update Date	:	04/21/2021

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