Jaclismar Berrios-Rivera
Family Medicine in Carolina, PR. Individual provider (NPI-1).
NPI number1144637992
StatusActive
Last updated in NPPESJun 12, 2019
Details
- NPI
- 1144637992
- Entity type
- Individual (NPI-1)
- Name
- Jaclismar Berrios-Rivera
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 14, 2014
- Last updated
- Jun 12, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 19603 | PR | Yes |
Practice location
Hc 3 Box 12052Carolina, PR 00987-9617
Phone 939-639-4876
Mailing address
Hc 3 Box 12052Carolina, PR 00987-9617
Phone 939-639-4876
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