Individual provider Active NPI

Alida Arroyo Berrios, MD

  • Respiratory/Developmental/Rehabilitative Specialist/Technologist
  • Carolina, PR
National Provider Identifier
1124034418
Registry record updated Apr 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respiratory/Developmental/Rehabilitative Specialist/TechnologistTaxonomy code 225500000X
License
17188 Issued in PR
Practice address
153 Street Urb. Jardines de Country Club
Co-12
Carolina, PR 00983-2043
Phone
(787) 449-1963
Fax
(787) 257-2388
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 055724 GA
Respiratory/Developmental/Rehabilitative Specialist/Technologist 225500000X 17188 PR Primary

Addresses

Primary practice location

153 Street Urb. Jardines de Country Club
Co-12
Carolina, PR 00983-2043

Mailing address

153 Street Urb. Jardines de Country Club
Co-12
Carolina, PR 00983-2043
Phone (787) 449-1963

Other identifiers 1

IdentifierTypeStateIssuer
514387421AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
055724GAMDPediatrics Physician
17188PRMDRespiratory/Developmental/Rehabilitative Specialist/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Interfaith Medical Center Pediatrics Past Accepting new patients

Organizations & group practices 1

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364860800000",
    "number": "1124034418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 STREET URB. JARDINES DE COUNTRY CLUB",
            "address_2": "CO-12",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009832043",
            "telephone_number": "787-449-1963",
            "fax_number": "787-257-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 STREET URB. JARDINES DE COUNTRY CLUB",
            "address_2": "CO-12",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009832043",
            "telephone_number": "787-449-1963",
            "fax_number": "787-257-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARROYO BERRIOS",
        "first_name": "ALIDA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2013-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "055724",
            "primary": false
        },
        {
            "code": "225500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "PR",
            "license": "17188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "514387421A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.