Jesus Berrios, MA.
Individual provider Active NPI Psychologist · Comerio, PR
NPI 1972743201 · NPPES record last updated Feb 26, 2009
Key facts
- NPI
- 1972743201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 3325 (PR)
- Practice address
- Carretera 780 Barrio Dona Elena
Comerio, PR 00782 - Phone
- (787) 365-7268
- NPI assigned
- Feb 26, 2009
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3325 | PR | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3325 | PR | Yes |
Addresses
Primary practice location
Carretera 780 Barrio Dona Elena
Comerio, PR 00782
Mailing address
HC 75 Box 1775
Naranjito, PR 00719-9731
Phone (787) 365-7268
Other providers in Comerio, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.