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NPI Code Detail

MEDICARE: MS. MARIA MAGDALENA BERRIOS

MEDICARE:  MS. MARIA MAGDALENA BERRIOS
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
1156F00000XTechnician/Technologist409PR

General Provider Information

NPI Number : 1336595693
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARIA MAGDALENA BERRIOS
Provider Business Mailing Address
First Line : PO BOX 80152
Second Line :
City : COROZAL
State : PR
Zip : 00783-8152
Country : US
Telephone Number : 787-751-0475
Fax Number : 787-751-0475
Provider Business Practice Location Address
First Line : 975 AVE AMERICO MIRANDA
Second Line :
City : SAN JUAN
State : PR
Zip : 00921-2801
Country : US
Telephone Number : 787-751-0475
Fax Number : 787-751-0475
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2016
Last Update Date : 05/05/2016

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Directions to “ MS. MARIA MAGDALENA BERRIOS ” Practice Location

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