Individual
JACLISMAR BERRIOS-RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
HC 3 BOX 12052, CAROLINA, PR 00987-9617
(939) 639-4876
Mailing address
HC 3 BOX 12052, CAROLINA, PR 00987-9617
(939) 639-4876
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19603
PR
Other
Enumeration date
07/14/2014
Last updated
06/12/2019
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