Provider Demographics
NPI:1528421583
Name:BRIONES, BEATRIZ AZUCENA (MD)
Entity type:Individual
Prefix:
First Name:BEATRIZ
Middle Name:AZUCENA
Last Name:BRIONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6565 N CHARLES ST STE 501
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-5802
Mailing Address - Country:US
Mailing Address - Phone:443-849-4800
Mailing Address - Fax:
Practice Address - Street 1:6565 N CHARLES ST STE 501
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-5802
Practice Address - Country:US
Practice Address - Phone:443-849-4800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-29
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0095641208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery