Healthcare Provider Details

I. General information

NPI: 1184918641
Provider Name (Legal Business Name): JOSE EDUARDO ARIAS-BERRIOS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2011
Last Update Date: 08/06/2024
Certification Date: 08/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

B1 CALLE SANTA CRUZ STE 406
BAYAMON PR
00961-6945
US

IV. Provider business mailing address

6431 FANNIN ST MSB G550A
HOUSTON TX
77030-1501
US

V. Phone/Fax

Practice location:
  • Phone: 787-779-6896
  • Fax:
Mailing address:
  • Phone: 713-500-5874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number18664
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code2081N0008X
TaxonomyNeuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
License Number18664
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: