Provider Demographics
NPI:1972906139
Name:ANGEL F BERIO MD PA
Entity Type:Organization
Organization Name:ANGEL F BERIO MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SUAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-251-3991
Mailing Address - Street 1:782 NW 42ND AVE
Mailing Address - Street 2:SUITE 340
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-5541
Mailing Address - Country:US
Mailing Address - Phone:305-461-4559
Mailing Address - Fax:305-461-4559
Practice Address - Street 1:782 NW 42ND AVE
Practice Address - Street 2:SUITE 340
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-5541
Practice Address - Country:US
Practice Address - Phone:305-461-4559
Practice Address - Fax:305-461-4559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-02
Last Update Date:2014-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0021620208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL30094Medicare PIN