Provider Demographics
NPI:1245277904
Name:BERRIOS, ANA I (SW)
Entity type:Individual
Prefix:MRS
First Name:ANA
Middle Name:I
Last Name:BERRIOS
Suffix:
Gender:F
Credentials:SW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 CALLE RIO CAONILLAS
Mailing Address - Street 2:BRISAS DE TORTUGUERO
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00693-9843
Mailing Address - Country:US
Mailing Address - Phone:787-515-0505
Mailing Address - Fax:
Practice Address - Street 1:BUZON 18 RIO CAONILLAS
Practice Address - Street 2:BRISA DE TORTUGUERO
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693
Practice Address - Country:US
Practice Address - Phone:787-515-0503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13982104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker