Individual provider · NPI-1

Jose Alejandro Barrera Ruiz, SA-C

Specialist/Technologist, Other, Surgical Assistant · Pembroke Pines, FL

NPI number1073070868
StatusActive
Last updated in NPPESFeb 27, 2019

Details

NPI
1073070868
Entity type
Individual (NPI-1)
Name
Jose Alejandro Barrera Ruiz
Credential
SA-C
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 27, 2019
Last updated
Feb 27, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
246ZC0007X Specialist/Technologist, Other, Surgical Assistant18-552WIYes

Practice location

11660 Sw 13th Ct
Pembroke Pines, FL 33025-4839

Phone 602-812-1828

Mailing address

11660 Sw 13th Ct
Pembroke Pines, FL 33025-4839

Phone 602-812-1828

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