MEDICARE: DR. JOAN EILEEN PIJEM 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	174400000X	Specialist	ME87498	FL
2	207Q00000X	Family Medicine Physician	15883	PR
3	207QG0300X	Geriatric Medicine (Family Medicine) Physician	15883	PR

General Provider Information

NPI Number	:	1477500114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOAN EILEEN PIJEM BERRIOS M.D.

Provider Business Mailing Address
First Line	:	1967 CALLE NOGAL
Second Line	:
City	:	GUAYNABO
State	:	PR
Zip	:	00969-4728
Country	:	US
Telephone Number	:	787-664-3816
Fax Number	:	787-749-0334

Provider Business Practice Location Address
First Line	:	126 AVE DE DIEGO
Second Line	:	SEIN MEDICAL PLAZA SUITE 3
City	:	SAN JUAN
State	:	PR
Zip	:	00921-3141
Country	:	US
Telephone Number	:	787-664-3816
Fax Number	:

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

Provider Enumeration Date	:	05/28/2006
Last Update Date	:	06/21/2024

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