Provider Demographics
NPI:1245325588
Name:ALVARADO-BERRIOS, TERESITA DE JESUS (RPH)
Entity type:Individual
Prefix:MRS
First Name:TERESITA
Middle Name:DE JESUS
Last Name:ALVARADO-BERRIOS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 AVE SAN JOSE E
Mailing Address - Street 2:
Mailing Address - City:AIBONITO
Mailing Address - State:PR
Mailing Address - Zip Code:00705-3733
Mailing Address - Country:US
Mailing Address - Phone:787-991-7355
Mailing Address - Fax:787-991-7361
Practice Address - Street 1:305 AVE SAN JOSE E
Practice Address - Street 2:
Practice Address - City:AIBONITO
Practice Address - State:PR
Practice Address - Zip Code:00705-3733
Practice Address - Country:US
Practice Address - Phone:787-991-7355
Practice Address - Fax:787-991-7361
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4179183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4179OtherPHARMACIST LICENCE