Doctor Name: | MS. CARMEN DELIA BERRIOS |
NPI Number: | 1003949454 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | 26NC07196200 |
Business Practice Address: | 223 Bloomfield St. 108 Hoboken, NJ - 07030 |
Business Phone Number: | 2014010171 |
Business Fax Number: | |
Mailing Address: | 444 Washington Blvd, 4506 JERSEY CITY |
State: | NJ |
Postal Code: | 07310 |
Phone Number: | 2014010171 |
Fax Number: | |
NPI Enumeration Date: | 03/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | 26NC07196200 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | NJ |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |