Individual
DR. IVONNE DE L FRAGA BERRIOS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
708 AVE PONCE DE LEON, SUITE 102, SAN JUAN, PR 00918-4502
(787) 763-9312
(787) 294-1246
Mailing address
PMB 191 PO BOX 7891, GUAYNABO, PR 00970-7891
(787) 708-4618
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
13162
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20101
SSS PROVIDER #
PR
Enumeration date
07/01/2005
Last updated
07/09/2007
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