Provider Demographics
NPI:1770907040
Name:BERLINGERI, IVONNE
Entity type:Individual
Prefix:
First Name:IVONNE
Middle Name:
Last Name:BERLINGERI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RES LOPEZ SICARDO # 771
Mailing Address - Street 2:DOS PINOS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00923-2206
Mailing Address - Country:US
Mailing Address - Phone:787-294-5164
Mailing Address - Fax:787-294-5165
Practice Address - Street 1:MM9 CALLE 420
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00982-1855
Practice Address - Country:US
Practice Address - Phone:787-294-5164
Practice Address - Fax:787-294-5165
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-07
Last Update Date:2014-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6425246RM2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RM2200XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyMedical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRDO449AMedicare Oscar/Certification