| Doctor Name: | TAMARA BERRIOS |
| NPI Number: | 1134183379 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 14003 |
| Business Practice Address: | Urb. Portal De La Reina Calle 4 Suite #1 Santa Isabel, PR - 00757 |
| Business Phone Number: | 7879717444 |
| Business Fax Number: | 7879717230 |
| Mailing Address: | Po Box 800851, COTO LAUREL |
| State: | PR |
| Postal Code: | 007800851 |
| Phone Number: | 7874487440 |
| Fax Number: | 7879717444 |
| NPI Enumeration Date: | 04/14/2006 |
| NPI Last Update Date: | 03/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 14003 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |