Provider Demographics
NPI:1407859820
Name:BERRIOS, RAMON R (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMON
Middle Name:R
Last Name:BERRIOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1036
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00970-1036
Mailing Address - Country:US
Mailing Address - Phone:787-706-4334
Mailing Address - Fax:787-749-0993
Practice Address - Street 1:1510 AVE F D ROOSEVELT
Practice Address - Street 2:MEZZANINE - SUITE B
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00968-2695
Practice Address - Country:US
Practice Address - Phone:787-706-4334
Practice Address - Fax:787-749-0993
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-31
Last Update Date:2020-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9651207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F49359Medicare UPIN
PR8-3234Medicare ID - Type Unspecified