Provider Demographics
NPI:1336149806
Name:RIEN, BARBARA (DPM)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:RIEN
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:LYNN
Other - Middle Name:
Other - Last Name:FEINSTEIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:9980 CENTRAL PARK BLVD N
Mailing Address - Street 2:#120
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-1762
Mailing Address - Country:US
Mailing Address - Phone:561-487-4200
Mailing Address - Fax:561-487-4201
Practice Address - Street 1:9980 CENTRAL PARK BLVD N
Practice Address - Street 2:#120
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-1762
Practice Address - Country:US
Practice Address - Phone:561-487-4200
Practice Address - Fax:561-487-4201
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-27
Last Update Date:2011-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO1354213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
87702Medicare ID - Type Unspecified
T95174Medicare UPIN