Provider Demographics
NPI:1215695507
Name:DE BARRIO, AMALIA (BA)
Entity type:Individual
Prefix:
First Name:AMALIA
Middle Name:
Last Name:DE BARRIO
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16686 NW 21ST ST APT 11-303
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33028-1884
Mailing Address - Country:US
Mailing Address - Phone:305-917-5919
Mailing Address - Fax:
Practice Address - Street 1:16686 NW 21ST ST APT 11-303
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33028-1884
Practice Address - Country:US
Practice Address - Phone:305-917-5919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-03
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator