MEDICARE: YANIER BARRIOS

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1952792897
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YANIER BARRIOS

Provider Business Mailing Address
First Line	:	5719 VISTA LINDA DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822-2322
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5719 VISTA LINDA DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822-2322
Country	:	US
Telephone Number	:	321-263-1325
Fax Number	:

Authorized Official
Title or Position	:	PSR
Name	:	YANIER BARRIOS
Credential	:
Telephone Number	:	321-263-1325

Provider Enumeration Date	:	02/13/2015
Last Update Date	:	02/13/2015

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Directions to “YANIER BARRIOS ” Practice Location

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