Healthcare Provider Details

I. General information

NPI: 1730109356
Provider Name (Legal Business Name): MARIA A BERRIOS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3368 AVENIDA DEL VALLE LEVITTOWN
TOA BAJA PR
00949
US

IV. Provider business mailing address

URB HERMANAS DAVILA 256 MUNOZ RIVERA
BAYAMON PR
00959-5161
US

V. Phone/Fax

Practice location:
  • Phone: 787-795-0704
  • Fax: 787-998-9699
Mailing address:
  • Phone: 787-505-3924
  • Fax: 787-998-9699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number15473
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: