Healthcare Provider Details

I. General information

NPI: 1043558638
Provider Name (Legal Business Name): ALEXANDRA GISELLE ARGENTO-BERRIO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DR. ALEXANDRA GISELLE DE LA ROSA BERRIO

II. Dates (important events)

Enumeration Date: 01/17/2013
Last Update Date: 10/07/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2317 INTERNATIONAL LN STE 118
MADISON WI
53704-3154
US

IV. Provider business mailing address

2317 INTERNATIONAL LN STE 118
MADISON WI
53704-3154
US

V. Phone/Fax

Practice location:
  • Phone: 608-305-4030
  • Fax: 608-305-8941
Mailing address:
  • Phone: 608-305-4030
  • Fax: 608-305-8941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number77671-20
License Number StateWI
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number036173887
License Number StateIL
# 4
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD61192971
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: