Individual
NELSON A BERRIOS
Active
Individual
NELSON A BERRIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
H1041
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10014682
AMERIGROUP
TX
05
—
119003502
—
TX
01
—
130010767
RAILROAD MEDICARE
TX
01
—
29053
TEXAN PLUS
TX
01
—
375890300
DEPT OF LABOR
TX
01
—
4010178
AETNA
TX
01
—
871312
BLUE CROSS BLUE SHIELD
TX
01
—
BE0871312
BCBS OUT OF STATE
—
01
—
MDH1041
W/C
—
Enumeration date
05/18/2006
Last updated
02/16/2012
Update your record
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