Provider Demographics
NPI:1104811306
Name:BARRIOS, GERARD JOHN (MD)
Entity type:Individual
Prefix:
First Name:GERARD
Middle Name:JOHN
Last Name:BARRIOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:GERARD
Other - Middle Name:J
Other - Last Name:BARRIOS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:3181 CORAL WAY
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33145-3216
Mailing Address - Country:US
Mailing Address - Phone:305-858-3494
Mailing Address - Fax:305-285-7372
Practice Address - Street 1:3181 CORAL WAY
Practice Address - Street 2:5TH FLOOR
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33145-3216
Practice Address - Country:US
Practice Address - Phone:305-858-3494
Practice Address - Fax:305-444-0780
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME15652207RC0000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL037775900Medicaid
D58105Medicare UPIN
71537XMedicare ID - Type Unspecified