Provider Demographics
NPI:1477357267
Name:BERRIOS, JUAN
Entity type:Individual
Prefix:
First Name:JUAN
Middle Name:
Last Name:BERRIOS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MANSION DEL SUR 13 CALLE CEIBA
Mailing Address - Street 2:
Mailing Address - City:COTO LAUREL
Mailing Address - State:PR
Mailing Address - Zip Code:00780-2076
Mailing Address - Country:US
Mailing Address - Phone:787-567-7235
Mailing Address - Fax:
Practice Address - Street 1:MANSION DEL SUR 13 CALLE CEIBA
Practice Address - Street 2:
Practice Address - City:COTO LAUREL
Practice Address - State:PR
Practice Address - Zip Code:00780-2076
Practice Address - Country:US
Practice Address - Phone:787-567-7235
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program