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NPI 1356870935

NPI 1356870935 : DALIANNE RIVERA BERRIOS MD : SAINT CLOUD, FL

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General NPI Number Information
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    NPI Number           |    1356870935
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    Entity Type          |    Individual 
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    Provider Name        |    DALIANNE RIVERA BERRIOS MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/07/2017
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    Last Update Date     |    02/13/2026
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Provider Practice Location Address
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    Address Line         |    3505 PROGRESS LN 
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    City                 |    SAINT CLOUD
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    State                |    FL
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    Zip                  |    34769-6519
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    Country              |    US
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    Telephone            |    407-349-7242
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    Fax                  |    855-583-3637
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Provider Business Mailing Address
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    Address Line         |    6101 BLUE LAGOON DR STE 200 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33126-3168
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    Country              |    US
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    Telephone            |    844-630-0700
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    Fax                  |    877-374-1924
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208D00000X
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    Taxonomy Name        |    General Practice Physician
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    License Number       |    019650
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    License Number State |    PR
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