Luz E Berrios, RN BSN
Individual provider Active NPI Community Health Registered Nurse · San Juan, PR
NPI 1194964080 · NPPES record last updated Feb 17, 2009
Key facts
- NPI
- 1194964080
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- 15516 (PR)
- Practice address
- Ave. Borinquen Bo. Obrero
Apartado 14457
San Juan, PR 00916 - Phone
- (787) 268-4171
- NPI assigned
- Feb 17, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15516 | PR | MD | Community Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 15516 | PR | Yes |
Addresses
Primary practice location
Ave. Borinquen Bo. Obrero
Apartado 14457
San Juan, PR 00916
Mailing address
Ave. Borinquen Bo. Obrero
Apartado 14457
San Juan, PR 00916
Phone (787) 268-4171
NPI Registry JSON
{
"created_epoch": "1234828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234828800000",
"number": "1194964080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "AVE. BORINQUEN BO. OBRERO",
"address_2": "APARTADO 14457",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00916",
"telephone_number": "787-268-4171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE. BORINQUEN BO. OBRERO",
"address_2": "APARTADO 14457",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00916",
"telephone_number": "787-268-4171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRIOS",
"first_name": "LUZ",
"middle_name": "E",
"credential": "RN BSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-17",
"last_updated": "2009-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "PR",
"license": "15516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
- Jahdiel Miguel Berrios
- Jenny K Berrios
- Joalmi Berrios
- Jorge Ernesto Berrios
- Laura J Berrios
- Maria Ivelisse Berrios
- Maria Magdalena Berrios
- Miguel A Berrios
- Raquel Berrios
- Cesar A Berroa
All providers in San Juan, PR · Community Health Registered Nurse in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.