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:
Health care specialties
| Specialty | Code | License # | 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 3 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 | 1508833104 | NPPES |
| Florida | MEDICAID | 019698900 | |
| Florida | Other | IV081Z | |
| Florida | Other | ACN880 | |
| Florida | Other | 8286 |
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