Provider Demographics
NPI:1538518634
Name:RODRIGUEZ BERRIOS, DR. MARIA DEL M. (ND)
Entity Type:Individual
Prefix:
First Name:DR. MARIA DEL M.
Middle Name:
Last Name:RODRIGUEZ BERRIOS
Suffix:
Gender:F
Credentials:ND
Other - Prefix:DR
Other - First Name:MARIA
Other - Middle Name:DEL M
Other - Last Name:RODRIGUEZ BERRIOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ND
Mailing Address - Street 1:PO BOX 366693
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-6693
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:585 AVE FRANKLIN DELANO ROOSEVELT
Practice Address - Street 2:366693
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00936
Practice Address - Country:US
Practice Address - Phone:787-397-4107
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-09
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT119490175F00000X
PR39175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath