Provider Demographics
NPI:1346864055
Name:BERRIOS, ALMA IRIS (RPH)
Entity Type:Individual
Prefix:
First Name:ALMA
Middle Name:IRIS
Last Name:BERRIOS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:AVE ARBOLOTE CHALET DEL PARQUE 19
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:939-599-2218
Mailing Address - Fax:
Practice Address - Street 1:BO. HATO TEJAS
Practice Address - Street 2:CARR.862 K.M. 1.9
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-269-3140
Practice Address - Fax:787-740-5445
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-29
Last Update Date:2020-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3513333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy