Maria Ivelisse Berrios, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

2674 Issued in PR

Practice address

Winston Churchill Avenue
Apt 811 Cond Villas del Senorial
San Juan, PR 00926-6711

Phone

(787) 559-9121

NPI assigned

Feb 26, 2007

Last updated

Nov 3, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509667200000",
    "number": "1457487308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COND. VILLAS DEL SENORIAL W.CHURCHILL AVE.",
            "address_2": "APT #811",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-559-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WINSTON CHURCHILL AVENUE",
            "address_2": "APT 811 COND VILLAS DEL SENORIAL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266711",
            "telephone_number": "787-559-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRIOS",
        "first_name": "MARIA",
        "middle_name": "IVELISSE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2017-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "2674",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN20312",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joalmi Berrios, MD
• Jorge Ernesto Berrios, PSYD
• Juanita Berrios
• Laura J Berrios
• Luz E Berrios, RN BSN
• Maria Magdalena Berrios
• Miguel A Berrios, MD
• Raquel Berrios, MSW
• Cesar A Berroa
• Maria H Berrocal-Fernandez, MD

• Dentist in San Juan, PR
• Providers in San Juan, PR by specialty
• Dentist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; 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.