Dr. Ivonne De L Fraga Berrios
Neurologist
708 Ave Ponce De Leon Suite 102
San Juan
, Puerto Rico 00918-4502
Dr. Ivonne De L Fraga Berrios
Neurologist
708 Ave Ponce De Leon Suite 102
San Juan
, Puerto Rico 00918-4502
(787) 708-4618
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About
Features
Specialties
- Neurologist
Languages spoken
- English
Location
First Address
- Dr. Ivonne De L Fraga Berrios
- Pmb 191 Po Box 7891
- Guaynabo, PR
- Zip : 00970-7891
- Phone : (787) 708-4618
Second Address
- Dr. Ivonne De L Fraga Berrios
- 708 Ave Ponce De Leon Suite 102
- San Juan, PR
- Zip : 00918-4502
- Fax : (787) 294-1246
- Phone : (787) 763-9312
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0400X | Neurologist | 13162 | PR |
National Provider Identifier
| NPI | 1033116264 |
|---|---|
| Provider Name | Dr. Ivonne De L Fraga Berrios |
| First Address | Guaynabo, PR 00970-7891 |
| Second Address | San Juan, PR 00918-4502 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/07/2005 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 20101 | SSS PROVIDER # (01) | PR |
| H82111 | (02) | PR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.