Individual provider Active NPI

Gabriel Eduardo Arias Berrios, MD

  • Dermatology Physician
  • Bayamon, PR
National Provider Identifier
1053869586
Registry record updated Jul 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
21482 Issued in PR
Practice address
66 Calle Santa Cruz Ste 303
Bayamon, PR 00961-7049
Phone
(787) 705-2944
Fax
(787) 705-2943
NPI assigned
Sep 13, 2016
Last updated
Jul 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 21482 PR Primary

Addresses

Primary practice location

66 Calle Santa Cruz Ste 303
Bayamon, PR 00961-7049

Mailing address

66 Calle Santa Cruz Ste 303
Bayamon, PR 00961-7049
Phone (787) 705-2944

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
I20230830004106 PR Practitioner - Dermatology 8022471580 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Puerto Rico School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salud Integral En la Montana IncGroup PAC ID 8527972827, 64 clinicians

Practice addresses (Care Compare)

12 2 Carr 152 KM
Naranjito, PR 00719

66 Calle Santa Cruz
Bayamon, PR 00961-7041
Phone (787) 705-2944

66 Calle Santa Cruz
Suite 303
Bayamon, PR 00961-7049

Carr 155 Ave Luis Munoz Marin
Orocovis, PR 00719
Phone (787) 867-6010

Carr 164 Sector El Desvio
Bo Achiote
Naranjito, PR 00719
Phone (787) 869-1290

PO Box
Naranjito, PR 00719

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions118
Skin biopsy54

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Integral En la Montana, Inc CurrentSince Aug 1, 2023 Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Ab Derm LLC Dermatology CurrentSince Sep 27, 2023 Accepting new patients

Locations

66 Calle Santa Cruz
Ste 303
Bayamon, PR 00961
Phone (787) 705-2944

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690675200000",
    "number": "1053869586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 CALLE SANTA CRUZ STE 303",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617049",
            "telephone_number": "787-705-2944",
            "fax_number": "787-705-2943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 CALLE SANTA CRUZ STE 303",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617049",
            "telephone_number": "787-705-2944",
            "fax_number": "787-705-2943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARIAS BERRIOS",
        "first_name": "GABRIEL EDUARDO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-13",
        "last_updated": "2023-07-30",
        "certification_date": "2023-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "21482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.