Healthcare Provider Details

I. General information

NPI: 1760403620
Provider Name (Legal Business Name): RAFAEL LIONEL BERIO-MUNIZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2006
Last Update Date: 07/12/2024
Certification Date: 07/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 TEXAN TRL STE 300
CORPUS CHRISTI TX
78411-2549
US

IV. Provider business mailing address

601 TEXAN TRL STE 300
CORPUS CHRISTI TX
78411-2549
US

V. Phone/Fax

Practice location:
  • Phone: 361-887-9000
  • Fax: 361-887-0942
Mailing address:
  • Phone: 361-887-2900
  • Fax: 361-887-0942

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number14629
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: