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NPI Code Detail

MEDICARE: EFRAIN BERRIOS REYES MD

MEDICARE:   EFRAIN BERRIOS REYES  MD
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
1207R00000XInternal Medicine Physician016449LA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1110160568OTHERLARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336147842
Entity Type Code : Individual
Provider Name (Legal Business Name) : EFRAIN BERRIOS REYES MD
Provider Business Mailing Address
First Line : 7777 HENNESSY BLVD
Second Line : SUITE 7000
City : BATON ROUGE
State : LA
Zip : 70808-4300
Country : US
Telephone Number : 225-765-8829
Fax Number : 225-765-8283
Provider Business Practice Location Address
First Line : 7777 HENNESSY BLVD
Second Line : SUITE 7000
City : BATON ROUGE
State : LA
Zip : 70808-4300
Country : US
Telephone Number : 225-765-8829
Fax Number : 225-765-8283
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 03/27/2015

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Directions to “ EFRAIN BERRIOS REYES MD” Practice Location

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