Alicea Berrios, Luz M

Alicea Berrios, Luz M is an individual health care provider with primary practice located at 1425 Dunn Ave , Daytona Beach FL 32114. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Alicea Berrios, Luz M can be contacted via phone (386) 323-9600.

Contact Information

Primary practice address
1425 Dunn Ave Daytona Beach FL 32114
Phone: (386) 323-9600
Fax: (386) 323-9695
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 8391 Puerto Rico
Allopathic & Osteopathic Physicians / General Practice 208D00000X ACN880 Florida

Profile Details

NPI number 1508833104
LBN Legal business name Alicea Berrios, Luz M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508833104 NPPES
Florida MEDICAID 019698900
Florida Other IV081Z
Florida Other ACN880
Florida Other 8286

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