Individual provider · NPI-1

Susana Barros-Sierra, MD

Family Medicine · Hollywood, FL

NPI number1295354744

StatusActive

Last updated in NPPESOct 9, 2023

Details

NPI: 1295354744
Entity type: Individual (NPI-1)
Name: Susana Barros-Sierra
Credential: MD
Sex: Female
Sole proprietor: No
Enumeration date: Apr 14, 2020
Certification date: Oct 9, 2023
Last updated: Oct 9, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	ME164893	FL	Yes
390200000X	Student in an Organized Health Care Education/Training Program	–	–

Practice location

5010 Hollywood Blvd Ste 100b
Hollywood, FL 33021-6557

Phone 954-266-2999 · Fax 954-966-3320

Mailing address

3622 Coral Way Apt 607
Miami, FL 33145-3285

Phone 631-428-7361

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