MEDICARE: DR. JOSE EDUARDO ARIAS-BERRIOS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	18664	PR
2	2081N0008X	Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician	18664	PR

General Provider Information

NPI Number	:	1184918641
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSE EDUARDO ARIAS-BERRIOS M.D.

Provider Business Mailing Address
First Line	:	6431 FANNIN ST
Second Line	:	MSB G550A
City	:	HOUSTON
State	:	TX
Zip	:	77030-1501
Country	:	US
Telephone Number	:	713-500-5874
Fax Number	:

Provider Business Practice Location Address
First Line	:	B1 CALLE SANTA CRUZ STE 406
Second Line	:
City	:	BAYAMON
State	:	PR
Zip	:	00961-6945
Country	:	US
Telephone Number	:	787-779-6896
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2011
Last Update Date	:	08/06/2024

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