Organization Active NPI

Ernesto Barral MD, PA

  • Medical Specialty Clinic/Center
  • Port St Lucie, FL
National Provider Identifier
1093841074
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
ME94471 Issued in FL
Legal business name
ERNESTO BARRAL MD, PA
Practice address
1847 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5530
Phone
(772) 337-4208
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ernesto Barral, M.D.
Title
Pediatrician
Phone
(772) 337-4208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X ME94471 FL Primary

Addresses

Primary practice location

1847 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5530

Mailing address

1847 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5530
Phone (772) 337-4208

Other identifiers 1

IdentifierTypeStateIssuer
275366900MedicaidFL

National Provider Directory

National Provider Directory

Locations

1847 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Phone (772) 337-4208

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1093841074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1847 SE PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525530",
            "telephone_number": "772-337-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1847 SE PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525530",
            "telephone_number": "772-337-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNESTO BARRAL MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "BARRAL",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "772-337-4208",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME94471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275366900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.