MEDICARE: DR. NEREIDA GONZALEZ-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	2084P0800X	Psychiatry Physician	17084	PR

General Provider Information

NPI Number	:	1528279874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NEREIDA GONZALEZ-BERRIOS M.D.

Provider Business Mailing Address
First Line	:	PO BOX 799
Second Line	:
City	:	FRIENDSWOOD
State	:	TX
Zip	:	77549-0799
Country	:	US
Telephone Number	:	281-993-3733
Fax Number	:

Provider Business Practice Location Address
First Line	:	2222 GREENHOUSE RD STE 200
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-7288
Country	:	US
Telephone Number	:	281-993-3733
Fax Number	:

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

Provider Enumeration Date	:	05/25/2007
Last Update Date	:	08/31/2020

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