MEDICARE: FABIO ALBERTO BARRERA PENA

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	207R00000X	Internal Medicine Physician	2022036667	MO
2	207R00000X	Internal Medicine Physician	294503	NY
3	208M00000X	Hospitalist Physician	2022036667	MO

General Provider Information

NPI Number	:	1487038105
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FABIO ALBERTO BARRERA PENA

Provider Business Mailing Address
First Line	:	4422 THIRD AVENUE
Second Line	:	ST. BARNABAS HOSPITAL
City	:	BRONX
State	:	NY
Zip	:	10457
Country	:	US
Telephone Number	:	718-960-6600
Fax Number	:

Provider Business Practice Location Address
First Line	:	1436 WILLIAMSBRIDGE RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10461-2507
Country	:	US
Telephone Number	:	718-618-0401
Fax Number	:

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

Provider Enumeration Date	:	07/13/2015
Last Update Date	:	06/27/2025

Similar Medicare Providers

1912971250 — DR. MICHAEL IRA LEVINE M.D.
Practice Location Address:

1434 WILLIAMSBRIDGE RD
BRONX, NY
10461-2507

Practice Phone: 646-759-5453
Practice Fax: 646-374-4940

1548481898 — DR. NABIL A ELHADIDY MD
Practice Location Address:

1434 WILLIAMSBRIDGE RD
BRONX, NY
10461-2507

Practice Phone: 718-299-7295
Practice Fax: 646-759-5453

1316101124 — DR. DORIS MARILU CHAVEZ MD
Practice Location Address:

1436 WILLIAMSBRIDGE RD
BRONX, NY
10461-2507

Practice Phone: 646-759-5453
Practice Fax: 646-374-4940

1770903148 — SWADA IDDRIS RN
Practice Location Address:

1434 WILLIAMSBRIDGE RD
BRONX, NY
10461-2507

Practice Phone: 718-618-0401
Practice Fax:

1790299360 — SOBIA ABDULLAH
Practice Location Address:

2507 TRATMAN AVE APT F10
BRONX, NY
10461-3465

Practice Phone: 718-918-1820
Practice Fax:

1801390422 — KHADIJAT M IGE NP
Practice Location Address:

1434 WILLIAMSBRIDGE RD
BRONX, NY
10461-2507

Practice Phone: 718-597-1434
Practice Fax:

Directions to “ FABIO ALBERTO BARRERA PENA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.