Individual
LUIS ROBERTO BERRIOS PAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
HOPU BO MONACILLOS CARR #22 CENTRO MEDICO, SAN JUAN, PR 00935-0001
(787) 474-0333
Mailing address
8030 WADI APT B-202, WHITE LAKE, MI 48386-1374
(787) 598-3326
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4351054790
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
062036950
ID DRIVER'S LICENSE
GA
Enumeration date
07/06/2022
Last updated
06/18/2025
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