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Individual

LOURDES JEANNETTE BERRIOS I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RTP

Contact information

Practice address
CARR 159, COROZAL, PR 00783-2903
(787) 345-7565
Mailing address
PO BOX 204, COROZAL, PR 00783-0204
(787) 516-2692

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
719
PR

Other

Enumeration date
04/30/2019
Last updated
04/30/2019
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