Individual provider Active NPI

Dayna Liz Ortiz Berrios

  • Mammography Radiologic Technologist
  • Patillas, PR
National Provider Identifier
1972186245
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mammography Radiologic TechnologistTaxonomy code 2471M2300X
License
3450 Issued in PR
Practice address
99 Calle Guillermo Riefkhol
Patillas, PR 00723
Phone
(787) 839-4320
Fax
(787) 271-0004
NPI assigned
May 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mammography Radiologic Technologist 2471M2300X 3450 PR Primary

Addresses

Primary practice location

99 Calle Guillermo Riefkhol
Patillas, PR 00723

Mailing address

PO Box 697
Patillas, PR 00723-0697
Phone (787) 839-4320

Other identifiers 1

IdentifierTypeStateIssuer
134372OtherPRREGISTRY NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL caroline.rodriguez@cspsp.org

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

State licenses

LicenseStateTypeSpecialty
3450PRMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1972186245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 697",
            "city": "PATILLAS",
            "state": "PR",
            "postal_code": "007230697",
            "telephone_number": "787-839-4320",
            "fax_number": "787-271-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 CALLE GUILLERMO RIEFKHOL",
            "city": "PATILLAS",
            "state": "PR",
            "postal_code": "00723",
            "telephone_number": "787-839-4320",
            "fax_number": "787-271-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ BERRIOS",
        "first_name": "DAYNA",
        "middle_name": "LIZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471M2300X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Mammography",
            "state": "PR",
            "license": "3450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTRY NUMBER",
            "identifier": "134372",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "caroline.rodriguez@cspsp.org",
            "affiliation": "N",
            "address_1": "99 CALLE GUILLERMO RIEFKHOL",
            "city": "PATILLAS",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Patillas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.