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General NPI Number Information
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NPI Number | 1912814559
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Entity Type | Organization
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Legal Business Name | BERRIOS MEDICINA DE FAMILIA
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Dates
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Enumeration Date | 08/27/2026
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Last Update Date | 08/27/2026
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Provider Practice Location Address
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Address Line | CARR 853 INT 185 BO. CEDROS
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City | CAROLINA
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State | PR
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Zip | 00987
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Country | US
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Telephone | 939-639-4876
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Fax |
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Provider Business Mailing Address
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Address Line | HC 3 BOX 12052
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City | CAROLINA
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State | PR
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Zip | 00987-9617
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Country | US
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Telephone | 939-639-4876
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JACLISMAR BERRIOS-RIVERA
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Credential | MD
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Telephone | 939-639-4876
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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