Provider Demographics
NPI:1952098964
Name:VIRELLA BERIO, BRIAN DARNELL
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:DARNELL
Last Name:VIRELLA BERIO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 CALLE MARIANO RAMIREZ BAGES
Mailing Address - Street 2:LAGUNA TERRACE APT. 4C
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-1667
Mailing Address - Country:US
Mailing Address - Phone:787-312-5606
Mailing Address - Fax:
Practice Address - Street 1:6 CALLE MARIANO RAMIREZ BAGES
Practice Address - Street 2:LAGUNA TERRACE APT. 4C
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-1667
Practice Address - Country:US
Practice Address - Phone:787-312-5606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-19
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program