Healthcare Provider Details

I. General information

NPI: 1073425823
Provider Name (Legal Business Name): PEDRO BERRIOS DMD L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 AVE DEGETAU STE 313
CAGUAS PR
00725-7304
US

IV. Provider business mailing address

E10 CALLE AYMACO URB PARQ LAS HACIENDAS
CAGUAS PR
00727-7731
US

V. Phone/Fax

Practice location:
  • Phone: 787-222-3007
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PEDRO BERRIOS REYES
Title or Position: MANAGING MEMBER
Credential: DMD
Phone: 787-222-3007