Provider Demographics
NPI:1689745994
Name:BERRIOS, ARLEEN (LND)
Entity Type:Individual
Prefix:MRS
First Name:ARLEEN
Middle Name:
Last Name:BERRIOS
Suffix:
Gender:F
Credentials:LND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC-73 BOX 4671
Mailing Address - Street 2:
Mailing Address - City:NARANJITO
Mailing Address - State:PR
Mailing Address - Zip Code:00719-9601
Mailing Address - Country:US
Mailing Address - Phone:787-869-5794
Mailing Address - Fax:
Practice Address - Street 1:HC 73 BOX 4671
Practice Address - Street 2:
Practice Address - City:NARANJITO
Practice Address - State:PR
Practice Address - Zip Code:00719-9116
Practice Address - Country:US
Practice Address - Phone:787-869-5794
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1097133NN1002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education