Provider Demographics
NPI:1730193095
Name:BARRETO, OSCAR (DPM)
Entity type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:
Last Name:BARRETO
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7975 NW 154TH ST STE 390
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5867
Mailing Address - Country:US
Mailing Address - Phone:305-825-5633
Mailing Address - Fax:305-825-5521
Practice Address - Street 1:7975 NW 154TH ST
Practice Address - Street 2:SUITE 390
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016-5863
Practice Address - Country:US
Practice Address - Phone:305-825-5633
Practice Address - Fax:305-825-5521
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-29
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO2377213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL65340Medicare PIN