Provider Demographics
NPI:1275302895
Name:BERRIOS VIANA, DAYANARA (MD)
Entity Type:Individual
Prefix:
First Name:DAYANARA
Middle Name:
Last Name:BERRIOS VIANA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RR 11 BOX 3726
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956-9301
Mailing Address - Country:US
Mailing Address - Phone:787-587-0676
Mailing Address - Fax:
Practice Address - Street 1:AVE HOSTOS #410. CARRETERA PR-2, BO. SABALOS
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00681-0600
Practice Address - Country:US
Practice Address - Phone:787-652-9200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-22
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program