Provider Demographics
NPI:1346517232
Name:BERRIOS LOPEZ, YOMAYRA (MS, RPT)
Entity Type:Individual
Prefix:
First Name:YOMAYRA
Middle Name:
Last Name:BERRIOS LOPEZ
Suffix:
Gender:F
Credentials:MS, RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CONDOMINIO PARQUE ARCOIRIS CALLE 2 #227
Mailing Address - Street 2:APARTAMENTO F-365
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976
Mailing Address - Country:US
Mailing Address - Phone:787-598-2333
Mailing Address - Fax:
Practice Address - Street 1:AVE SANCHEZ VILELLA
Practice Address - Street 2:GO-5 COUNTRY CLUB
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00983
Practice Address - Country:US
Practice Address - Phone:787-762-3572
Practice Address - Fax:787-762-3572
Is Sole Proprietor?:No
Enumeration Date:2011-11-21
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1378225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist