Provider Demographics
NPI:1598835068
Name:BARRERA, ABIGAIL RIOS (MD)
Entity type:Individual
Prefix:DR
First Name:ABIGAIL
Middle Name:RIOS
Last Name:BARRERA
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 1:919 SW MILITARY DR STE 102
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78221-1580
Mailing Address - Country:US
Mailing Address - Phone:210-927-6600
Mailing Address - Fax:210-927-6603
Practice Address - Street 1:919 SW MILITARY DR STE 102
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78221-1580
Practice Address - Country:US
Practice Address - Phone:210-927-6600
Practice Address - Fax:210-927-6603
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH9775207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1579534-01Medicaid
00887UMedicare ID - Type Unspecified
F16305Medicare UPIN
TX1579534-01Medicaid