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:
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Health care specialties

SpecialtyCodeLicense #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 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033116264 NPPES
Puerto Rico Other 20101 SSS PROVIDER #

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