Individual
IDENISSE M BERRIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
188-36 CALLE 516, VILLA CAROLINA, CAROLINA, PR 00985-3002
(787) 757-8213
Mailing address
188-36 CALLE 516, VILLA CAROLINA, CAROLINA, PR 00985-3002
(787) 757-8213
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20387
PR
Other
Enumeration date
08/13/2008
Last updated
09/12/2013
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