Provider Demographics
NPI:1417533423
Name:BRIONES ANDRIUOLI, REBECA RUTH (MD)
Entity type:Individual
Prefix:DR
First Name:REBECA
Middle Name:RUTH
Last Name:BRIONES ANDRIUOLI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:247 W BROAD ST
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-3632
Mailing Address - Country:US
Mailing Address - Phone:214-705-4924
Mailing Address - Fax:
Practice Address - Street 1:42 SHERWOOD PL STE 3
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-5633
Practice Address - Country:US
Practice Address - Phone:214-705-4924
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-20
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT77379208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics