Provider Demographics
NPI:1811071160
Name:TORRES-BERRIOS, DAMARIS (MD)
Entity type:Individual
Prefix:DR
First Name:DAMARIS
Middle Name:
Last Name:TORRES-BERRIOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PMB 342
Mailing Address - Street 2:35 JUAN C BORBON SUITE 67
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00965
Mailing Address - Country:US
Mailing Address - Phone:787-649-3273
Mailing Address - Fax:787-649-3271
Practice Address - Street 1:255 AVE DOMENECH
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-3510
Practice Address - Country:US
Practice Address - Phone:787-753-0255
Practice Address - Fax:787-649-3271
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR128462084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0089795Medicare ID - Type Unspecified