Provider Demographics
NPI:1396185831
Name:ARIAS BERRIOS, RAFAEL EDUARDO (MD)
Entity Type:Individual
Prefix:DR
First Name:RAFAEL
Middle Name:EDUARDO
Last Name:ARIAS BERRIOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:CONDOMINIO TORRE DEL CARDENAL
Mailing Address - Street 2:675 CALLE S CUEVAS SPH 16
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918
Mailing Address - Country:US
Mailing Address - Phone:787-740-2270
Mailing Address - Fax:
Practice Address - Street 1:INSTITUTO SAN PABLO SUITE 309
Practice Address - Street 2:66 CALLE SANTA CRUZ
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-7049
Practice Address - Country:US
Practice Address - Phone:787-740-2270
Practice Address - Fax:787-740-4370
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-28
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR210702081P2900X, 208VP0000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty