Provider Demographics
NPI:1285203018
Name:ARIAS BERRIOS GRUPO DENTAL LLC
Entity Type:Organization
Organization Name:ARIAS BERRIOS GRUPO DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAVIER
Authorized Official - Middle Name:EDUARDO
Authorized Official - Last Name:ARIAS BERRIOS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:787-447-4626
Mailing Address - Street 1:CALLE SANTA CRUZ #66
Mailing Address - Street 2:SUITE 103
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961-7049
Mailing Address - Country:US
Mailing Address - Phone:787-925-1665
Mailing Address - Fax:787-925-1677
Practice Address - Street 1:CALLE SANTA CRUZ #66
Practice Address - Street 2:SUITE 103
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-7049
Practice Address - Country:US
Practice Address - Phone:787-925-1665
Practice Address - Fax:787-925-1677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-24
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty