Fraga Berrios, Ivonne De L
Fraga Berrios, Ivonne De L is an individual health care provider with primary practice located at 708 Ave Ponce De Leon Suite 102, San Juan PR 00918-4502. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Fraga Berrios, Ivonne De L can be contacted via phone (787) 763-9312.Contact Information
Primary practice address
708 Ave Ponce De Leon Suite 102
San Juan PR 00918-4502
Phone: (787) 763-9312
Fax: (787) 294-1246
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 13162 | Puerto Rico |
Profile Details
| NPI number | 1033116264 |
|---|---|
| LBN Legal business name | Fraga Berrios, Ivonne De L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2005 |
| Last updated | Jul 9th, 2007 - about 18 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033116264 | NPPES |
| Puerto Rico | Other | 20101 | SSS PROVIDER # |
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