Individual
DR. JOSE ALBERTO BERRIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 TARPON WOODS BLVD, SUITE D, PALM HARBOR, FL 34685-2011
(727) 942-4005
(727) 934-1773
Mailing address
800 TARPON WOODS BLVD, SUITE D, PALM HARBOR, FL 34685-2011
(727) 942-4005
(727) 934-1773
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME0052177
FL
207YP0228X
Pediatric Otolaryngology Physician
ME0052177
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02978
WELLCARE
—
01
—
040014067
RR MEDICARE
—
05
—
047382100
—
FL
01
—
0600062
GHI
—
01
—
209756
AMERIGROUP
—
01
—
214676
AVMED
—
01
—
593341132
TAX ID
—
01
—
7A7011
EMPIRE BLUE CROSS NY
—
01
—
ZA5283
BLUE CROSS MASSACHUSETTS
—
Enumeration date
04/22/2006
Last updated
10/10/2011
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