Provider Demographics
NPI:1851806152
Name:BERRIOS, ARNALDO
Entity Type:Individual
Prefix:
First Name:ARNALDO
Middle Name:
Last Name:BERRIOS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:329 CALLE ORQUIDIA
Mailing Address - Street 2:PARCELAS LAS 80
Mailing Address - City:SALINAS
Mailing Address - State:PR
Mailing Address - Zip Code:00751
Mailing Address - Country:US
Mailing Address - Phone:787-445-2422
Mailing Address - Fax:
Practice Address - Street 1:329 CALLE ORQUIDIA
Practice Address - Street 2:PARCELAS LAS 80
Practice Address - City:SALINAS
Practice Address - State:PR
Practice Address - Zip Code:00751-0952
Practice Address - Country:US
Practice Address - Phone:787-445-2422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-08
Last Update Date:2017-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAB60085501OtherDRIVER LICENCE