Individual provider Active NPI

Jessica M Berrios Rios, MD, MPH

  • Pediatrics Physician
  • Naranjito, PR
National Provider Identifier
1891253647
Registry record updated Jul 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
22748 Issued in PR
Practice address
Carr 878 KM 3.0
Bo Anones
Naranjito, PR 00719-0071
Phone
(787) 385-3645
NPI assigned
Mar 11, 2019
Last updated
Jul 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Pediatrics Physician 208000000X 22748 PR Primary

Addresses

Primary practice location

Carr 878 KM 3.0
Bo Anones
Naranjito, PR 00719-0071

Mailing address

HC 75 Box 1789
Naranjito, PR 00719-9770
Phone (787) 385-3645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22748PRMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SHC Owner LLC Single Specialty Past Accepting new patients

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": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690070400000",
    "number": "1891253647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 75 BOX 1789",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "007199770",
            "telephone_number": "787-385-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 878 KM 3.0",
            "address_2": "BO ANONES",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "007190071",
            "telephone_number": "787-385-3645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRIOS RIOS",
        "first_name": "JESSICA",
        "middle_name": "M",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2023-07-23",
        "certification_date": "2023-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "22748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naranjito, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2023; 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.