Provider Demographics
NPI:1306904099
Name:BARRIENTOS CABEZAS, CLORINDA (MD)
Entity type:Individual
Prefix:
First Name:CLORINDA
Middle Name:
Last Name:BARRIENTOS CABEZAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HACIENDA SAN JOSE 531 VIA GUAJANA
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727-3058
Mailing Address - Country:US
Mailing Address - Phone:787-286-2927
Mailing Address - Fax:787-286-2927
Practice Address - Street 1:HOSPITAL DE PSIQUIATRIA DR RAMON FERNANDEZ MARINA
Practice Address - Street 2:BO MONACILLOS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00922
Practice Address - Country:US
Practice Address - Phone:787-766-4646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR45352084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRC79403Medicare UPIN
0024912Medicare ID - Type Unspecified