MEDICARE: BRYAN JULIAN CALDERIN BARRETO MD

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	208000000X	Pediatrics Physician	24416	PR

General Provider Information

NPI Number	:	1306534425
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRYAN JULIAN CALDERIN BARRETO MD

Provider Business Mailing Address
First Line	:	HC 2 BOX 12315
Second Line	:
City	:	MOCA
State	:	PR
Zip	:	00676-8377
Country	:	US
Telephone Number	:	787-467-5967
Fax Number	:

Provider Business Practice Location Address
First Line	:	CARR #2 KM 11.6
Second Line	:
City	:	BAYAMON
State	:	PR
Zip	:	00959
Country	:	US
Telephone Number	:	787-474-8282
Fax Number	:

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

Provider Enumeration Date	:	04/26/2023
Last Update Date	:	06/08/2026

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