Provider Demographics
NPI:1912212234
Name:BERRIOS, KARELYS BELTRAN (LATO)
Entity Type:Individual
Prefix:MS
First Name:KARELYS
Middle Name:BELTRAN
Last Name:BERRIOS
Suffix:
Gender:F
Credentials:LATO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 1 BOX 17526
Mailing Address - Street 2:
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00791-9741
Mailing Address - Country:US
Mailing Address - Phone:787-505-9741
Mailing Address - Fax:
Practice Address - Street 1:HC 1 BOX 17526
Practice Address - Street 2:
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791-9741
Practice Address - Country:US
Practice Address - Phone:787-505-9741
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-11
Last Update Date:2010-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR827224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant