Individual
DR. AGNES LYNETTE BERRIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
103 CALLE AUTONOMIA, CANOVANAS, PR 00729-3297
(787) 876-2100
(787) 876-2100
Mailing address
103 CALLE AUTONOMIA, CANOVANAS, PR 00729-3297
(787) 876-2100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1281
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1281
DMD L ICENCE
PR
Enumeration date
01/09/2007
Last updated
12/02/2016
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