Provider Demographics
NPI:1184976474
Name:BERRIOS, SONJA (MSW)
Entity type:Individual
Prefix:MRS
First Name:SONJA
Middle Name:
Last Name:BERRIOS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. SAN PEDRO
Mailing Address - Street 2:D -27 CALLE 2
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949-5414
Mailing Address - Country:US
Mailing Address - Phone:787-460-2430
Mailing Address - Fax:787-740-8317
Practice Address - Street 1:URB. SAN PEDRO
Practice Address - Street 2:D -27 CALLE 2
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949-5414
Practice Address - Country:US
Practice Address - Phone:787-460-2430
Practice Address - Fax:787-740-8317
Is Sole Proprietor?:No
Enumeration Date:2012-10-10
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR59251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical