Provider Demographics
NPI:1124445606
Name:BARRIENTOS, SHEILLA ENICE (OT)
Entity type:Individual
Prefix:
First Name:SHEILLA
Middle Name:ENICE
Last Name:BARRIENTOS
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30076 STREET VALLE DEL TOA
Mailing Address - Street 2:URB. VALLE DORADO
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646
Mailing Address - Country:US
Mailing Address - Phone:787-399-6349
Mailing Address - Fax:
Practice Address - Street 1:VALLE DORADO 30076
Practice Address - Street 2:STREET VALLE DEL TOA
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646
Practice Address - Country:UM
Practice Address - Phone:787-399-6349
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-24
Last Update Date:2014-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR727225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR727OtherOT LICENCE