Healthcare Provider Details

I. General information

NPI: 1144487711
Provider Name (Legal Business Name): DILAURY MEJIA BERRIOS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2008
Last Update Date: 05/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

INSTITUTO SAN PABLO STE510 #66 CALLE SANTA CRUZ
BAYAMON PR
00961-7050
US

IV. Provider business mailing address

INSTITUTO SAN PABLO STE 510 66 CALLE SANTA CRUZ
BAYAMON PR
00961-7050
US

V. Phone/Fax

Practice location:
  • Phone: 787-787-1088
  • Fax: 787-786-3398
Mailing address:
  • Phone: 787-787-1088
  • Fax: 787-786-3398

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number18228
License Number StatePR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: