Individual provider Active NPI

Victor Jose Berrios-Borges, MD

  • General Practice Physician
  • Caguas, PR
National Provider Identifier
1700097755
Registry record updated Aug 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
9111 Issued in PR
Practice address
Calle 3 C-23 Urb. Myrlena
Caguas, PR 00725
Phone
(787) 243-2666
NPI assigned
May 24, 2007
Last updated
Aug 23, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 9111 PR
General Practice Physician 208D00000X 9111 PR Primary

Addresses

Primary practice location

Calle 3 C-23 Urb. Myrlena
Caguas, PR 00725

Mailing address

Calle 3 C-23 Urb. Myrlena
Urb. Myrlena
Caguas, PR 00725
Phone (787) 243-2666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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

Enrollment IDStateProvider typePAC IDDetails
I20190124002007 PR Practitioner - General Practice 9537406848 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9111PRMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Asociacion de Maestros de P R CurrentSince Nov 15, 2023 Accepting new patients

Locations

158 Calle Ramos Antonini E
Mayaguez, PR 00680
Phone (787) 831-3130

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408752000000",
    "number": "1700097755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE 3 C-23 URB. MYRLENA",
            "address_2": "URB. MYRLENA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-243-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 3 C-23 URB. MYRLENA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-243-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRIOS-BORGES",
        "first_name": "VICTOR",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2014-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "9111",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "9111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.