Provider Demographics
NPI:1528277977
Name:BARRETO, ENRIQUE (DMD)
Entity type:Individual
Prefix:
First Name:ENRIQUE
Middle Name:
Last Name:BARRETO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 SAN LORENZO AVE
Mailing Address - Street 2:SUITE #640
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-1513
Mailing Address - Country:US
Mailing Address - Phone:305-271-8321
Mailing Address - Fax:305-648-4993
Practice Address - Street 1:135 SAN LORENZO AVE
Practice Address - Street 2:SUITE #640
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-1513
Practice Address - Country:US
Practice Address - Phone:305-271-8321
Practice Address - Fax:305-648-4993
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2009-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN117361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice