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

LicenseStateTypeSpecialty
15516PRMDCommunity Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 17, 2009.

{
    "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

All providers in San Juan, PR · Community Health Registered Nurse in Puerto Rico

Sources for this page

Verify at the official NPI Registry.