Individual provider Active NPI

Ivonne de L Fraga Berrios, MD

  • Neurology Physician
  • San Juan, PR
National Provider Identifier
1033116264
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
13162 Issued in PR
Practice address
708 Ave Ponce de Leon
Suite 102
San Juan, PR 00918-4502
Phone
(787) 763-9312
Fax
(787) 294-1246
NPI assigned
Jul 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 13162 PR Primary

Addresses

Primary practice location

708 Ave Ponce de Leon
Suite 102
San Juan, PR 00918-4502

Mailing address

PMB 191 PO Box 7891
Guaynabo, PR 00970-7891
Phone (787) 708-4618

Other identifiers 1

IdentifierTypeStateIssuer
20101OtherPRSSS PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031210000646 PR Practitioner - Neurology 1052217056 Practice locations: Hato Rey, PR

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Puerto Rico School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

708 Ave Ponce de Leon
San Juan, PR 00918-4502
Phone (787) 763-9312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13162PRMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Instituto de Neurologia Dra. Ivonne Fraga, PSC Past Accepting new patients
Clinica de Medicina Interna Dr. Martin Lugo, PSC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1033116264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 191 PO BOX 7891",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009707891",
            "telephone_number": "787-708-4618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 AVE PONCE DE LEON",
            "address_2": "SUITE 102",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009184502",
            "telephone_number": "787-763-9312",
            "fax_number": "787-294-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAGA BERRIOS",
        "first_name": "IVONNE DE L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PR",
            "license": "13162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS PROVIDER #",
            "identifier": "20101",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.