Idenisse M Berrios, M. D.
Internal Medicine in Carolina, PR. Individual provider (NPI-1).
NPI number1619123304
StatusActive
Last updated in NPPESSep 12, 2013
Details
- NPI
- 1619123304
- Entity type
- Individual (NPI-1)
- Name
- Idenisse M Berrios
- Credential
- M. D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 13, 2008
- Last updated
- Sep 12, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 20387 | PR | Yes |
Practice location
188-36 Calle 516Villa Carolina
Carolina, PR 00985-3002
Phone 787-757-8213
Mailing address
188-36 Calle 516Villa Carolina
Carolina, PR 00985-3002
Phone 787-757-8213
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