Provider Demographics
NPI:1285162792
Name:BARNES, JOSEPH ALEXANDER
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:ALEXANDER
Last Name:BARNES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1190 CALLE 52 SE
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00921-3129
Mailing Address - Country:US
Mailing Address - Phone:682-276-9803
Mailing Address - Fax:
Practice Address - Street 1:1190 CALLE 52 SE
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-3129
Practice Address - Country:US
Practice Address - Phone:682-276-9803
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program