Provider Demographics
NPI:1073385100
Name:BERRIOS, ADRIANA CRISTINA (DC)
Entity Type:Individual
Prefix:
First Name:ADRIANA
Middle Name:CRISTINA
Last Name:BERRIOS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 S PINE ST STE C1
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29302-2660
Mailing Address - Country:US
Mailing Address - Phone:864-431-1887
Mailing Address - Fax:
Practice Address - Street 1:280 S PINE ST STE C1
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29302-2660
Practice Address - Country:US
Practice Address - Phone:864-431-1887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5016111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor