MRS. MD Luz M Alicea Berrios, NPI 1508833104
General Practice Physician in Daytona Beach, FL, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1508833104 |
| NPI Entity Type | Individual |
| Provider Name | MRS. MD Luz M Alicea Berrios |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 1425 Dunn Ave, Daytona Beach, FL, US |
| Provider Mailing Address | 1302 River St, Palatka, FL, US, 321775042 |
| Is Sole Proprietor? | No |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | General Practice Physician |
| Classification | |
| Group | |
| License No. | ACN880 |
| License State | FL |
| Description | Definition to come... |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 8391 | PR | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 019698900 | FL | MEDICAID | 05 |
| IV081Z | FL | FL M CARE | 01 |
| FA5054313 | FL | DEA FL | 01 |
| ACN880 | FL | FLORIDA MEDICAL LICENSE | 01 |
| 8286 | CRUZ AZUL | 01 |
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