Provider Demographics
NPI:1134335375
Name:PEREZ BARRIOS, JULIAN ANDRES (MD)
Entity type:Individual
Prefix:
First Name:JULIAN
Middle Name:ANDRES
Last Name:PEREZ BARRIOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9495 PALM ISLAND CIR
Mailing Address - Street 2:
Mailing Address - City:NORTH FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33903-5263
Mailing Address - Country:US
Mailing Address - Phone:267-319-2983
Mailing Address - Fax:
Practice Address - Street 1:4790 BARKLEY CIR
Practice Address - Street 2:BUILDING A
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-7593
Practice Address - Country:US
Practice Address - Phone:239-275-8882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME108842207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL003629300Medicaid
FL003629300Medicaid