Healthcare Provider Details

I. General information

NPI: 1982681433
Provider Name (Legal Business Name): LIAM ALEXANDER BRIONES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: BERTA MARIA BRIONES MD

II. Dates (important events)

Enumeration Date: 12/27/2005
Last Update Date: 02/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 SUPERIOR AVE E STE 1300
CLEVELAND OH
44114-2654
US

IV. Provider business mailing address

12700 LAKE AVE APT 3006
LAKEWOOD OH
44107-1590
US

V. Phone/Fax

Practice location:
  • Phone: 216-544-8680
  • Fax: 216-274-9631
Mailing address:
  • Phone: 216-544-8680
  • Fax: 216-274-9631

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number3565109
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number55540
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number104297
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number42786
License Number StateAZ
# 5
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number35065109
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: