Individual
JULIO BERROA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 EMPIRE ST STE 101, PROVIDENCE, RI 02903-3254
(401) 339-3079
Mailing address
115 EMPIRE ST STE 101, PROVIDENCE, RI 02903-3254
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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