Emilio Jose Berrios Antuna, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

9669 Issued in PR

Practice address

6224 Michigan Ave
Detroit, MI 48210-2953

Phone

(313) 574-9266

NPI assigned

Apr 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Cedar Medical Associates

  • Internal Medicine Physician
  • Dearborn, MI
  • NPI 1649451964
  NPD (past)
• Cedar Medical SNF Services PLLC

  • Internal Medicine Physician
  • Dearborn, MI
  • NPI 1194504423
  NPD (past)
• Home Health Management PC

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1073683082
  NPD (past)
• M & N Cola Inc.

  • Clinic/Center
  • Detroit, MI
  • NPI 1912023375
  NPD (past)

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299196800000",
    "number": "1831212125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6224 MICHIGAN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482102953",
            "telephone_number": "313-574-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6224 MICHIGAN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482102953",
            "telephone_number": "313-574-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRIOS ANTUNA",
        "first_name": "EMILIO",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2011-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "9669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Bernstein
• Summer Berri, CRNA
• Karen Berridge
• Chanteil Lenise Berrien, M.D.
• Berrios Antuna Family Practice, PC
• Ali Hassan Berro, RRT
• Nadia Hussein Berro, PHYSICIAN ASSISTANT
• Berry Adult Foster Care Homes Inc (One on One Respite Care)
• Felecia Berry, LMSW
• Felicia Lenore Berry, MA

• General Practice Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.