Individual
DR. MARIA IVELISSE BERRIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
WINSTON CHURCHILL AVENUE, APT 811 COND VILLAS DEL SENORIAL, SAN JUAN, PR 00926-6711
(787) 559-9121
Mailing address
COND. VILLAS DEL SENORIAL W.CHURCHILL AVE., APT #811, SAN JUAN, PR 00926
(787) 559-9121
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2674
PR
1223P0221X
Pediatric Dentistry
DN20312
FL
Other
Enumeration date
02/26/2007
Last updated
11/03/2017
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