Provider Demographics
NPI:1386321156
Name:BARRIERA, JAN EMMANUEL
Entity type:Individual
Prefix:MR
First Name:JAN
Middle Name:EMMANUEL
Last Name:BARRIERA
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:I8 CALLE 7
Mailing Address - Street 2:
Mailing Address - City:JUANA DIAZ
Mailing Address - State:PR
Mailing Address - Zip Code:00795-2718
Mailing Address - Country:US
Mailing Address - Phone:939-282-4587
Mailing Address - Fax:
Practice Address - Street 1:I8 CALLE 7
Practice Address - Street 2:
Practice Address - City:JUANA DIAZ
Practice Address - State:PR
Practice Address - Zip Code:00795-2718
Practice Address - Country:US
Practice Address - Phone:939-282-4587
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR259011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical