Healthcare Provider Details

I. General information

NPI: 1437220563
Provider Name (Legal Business Name): ALMA I BERRIOS SUAREZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/12/2006
Last Update Date: 03/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

B30 AVE A PEREZ ANDINO VILLAS DE RIO GRANDE
RIO GRANDE PR
00745-2807
US

IV. Provider business mailing address

316 CALLE POMARROSA URB. LOS ARBOLES
RIO GRANDE PR
00745-5354
US

V. Phone/Fax

Practice location:
  • Phone: 787-887-5944
  • Fax: 787-887-7917
Mailing address:
  • Phone: 787-809-2927
  • Fax: 787-809-2927

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License Number6770
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: