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General NPI Number Information
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NPI Number | 1811241128
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Entity Type | Organization
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Legal Business Name | BERRIOS OB-GYN, P.S.C.
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Dates
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Enumeration Date | 11/08/2012
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Last Update Date | 01/18/2017
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Provider Practice Location Address
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Address Line | HIMA PLAZA ONE, SUITE 512 AVE DEGETAU #500
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City | CAGUAS
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State | PR
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Zip | 00725
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Country | US
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Telephone | 787-961-4640
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Fax | 787-961-4673
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Provider Business Mailing Address
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Address Line | 54 CAMINO DE LOS BUCARES URB SABANERA DEL RIO
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City | GURABO
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State | PR
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Zip | 00778-5209
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Country | US
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Telephone | 787-961-4640
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Fax | 787-961-4673
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HECTOR J BERRIOS ECHEVARRIA
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Credential | MD
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Telephone | 787-961-4640
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 13165
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License Number State | PR
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