MEDICARE: BRIGIDO E BERRIOS-PAGAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	2423	PR

General Provider Information

NPI Number	:	1184627762
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIGIDO E BERRIOS-PAGAN MD

Provider Business Mailing Address
First Line	:	403 CALLE DE DIEGO
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00923-3012
Country	:	US
Telephone Number	:	787-748-6902
Fax Number	:	787-764-5871

Provider Business Practice Location Address
First Line	:	403 CALLE DE DIEGO
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00923-3012
Country	:	US
Telephone Number	:	787-748-6902
Fax Number	:	787-764-5871

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	07/08/2007

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