# MRS. LUZ M ALICEA BERRIOS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1508833104
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 8391 | PR | — |
| 208D00000X | General Practice Physician | ACN880 | FL | Yes |

## Other

- **Enumeration date:** 03/02/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 019698900 | — | FL |
| 01 | — | 8286 | CRUZ AZUL | — |
| 01 | — | ACN880 | FLORIDA MEDICAL LICENSE | FL |
| 01 | — | IV081Z | FL M CARE | FL |