Provider Demographics
NPI:1124414784
Name:ARIAS BERRIOS, JAVIER EDUARDO (DMD)
Entity type:Individual
Prefix:DR
First Name:JAVIER
Middle Name:EDUARDO
Last Name:ARIAS BERRIOS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:675 CALLE CUEVAS BUSTAMANTE
Mailing Address - Street 2:APT SPH8
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-4097
Mailing Address - Country:US
Mailing Address - Phone:787-447-4626
Mailing Address - Fax:787-785-7277
Practice Address - Street 1:103 CALLE AUTONOMIA
Practice Address - Street 2:URB. MONTEHIEDRA
Practice Address - City:CANOVANAS
Practice Address - State:PR
Practice Address - Zip Code:00729-3297
Practice Address - Country:US
Practice Address - Phone:787-876-2100
Practice Address - Fax:787-876-2100
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-10
Last Update Date:2016-10-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR32251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice