Luz M Alicea Berrios, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN880 Issued in FL

Practice address

1425 Dunn Ave
Daytona Beach, FL 32114

Phone

(386) 323-9600

Fax

(386) 323-9695

NPI assigned

Mar 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Rural Health Care Incorporated

  • Federally Qualified Health Center (FQHC)
  • Palatka, FL
  • NPI 1871569061

  General Practice

  Medicare reassignment NPD
• Rural Health Care Incorporated

  • Federally Qualified Health Center (FQHC)
  • Interlachen, FL
  • NPI 1477529311
  NPD
• Rural Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Daytona Beach, FL
  • NPI 1891227179
  NPD
• Idelis Fedeslinda Arias de la Torre

  • General Practice Physician
  • Seffner, FL
  • NPI 1639747595
  NPD (past)
• Orlando Family Physicians, LLC

  • General Practice Physician
  • Orlando, FL
  • NPI 1912579673
  NPD (past)
• Psychological Empowerment LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cidra, PR
  • NPI 1205420346
  NPD (past)

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1508833104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 RIVER ST",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321775042",
            "telephone_number": "386-328-0108",
            "fax_number": "386-325-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 DUNN AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "32114",
            "telephone_number": "386-323-9600",
            "fax_number": "386-323-9695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5840 W Colonial Dr",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328087558",
            "country_code": "US",
            "telephone_number": "407-720-7302",
            "fax_number": "407-293-1355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALICEA BERRIOS",
        "first_name": "LUZ",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "8391",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019698900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL M CARE",
            "identifier": "IV081Z",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAL LICENSE",
            "identifier": "ACN880",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "8286",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larry L Alexander, MD
• Patricia L Alexander
• Alexandra Crossman MD PA
• Brandon Jamal Alfred
• Lubna Alhalaseh, DDS
• Jasim Amir Alidina, MD
• Abdelrahman M Aljadi, MD
• Suha Alkadry, MD
• All Access Mobile Hemodialysis,LLC
• All Family Clinic of Daytona Beach, Inc

• General Practice Physician in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.