Provider Demographics
NPI:1912983388
Name:BERRIOS, ZULMA M (MD)
Entity type:Individual
Prefix:
First Name:ZULMA
Middle Name:M
Last Name:BERRIOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6200 SUNSET DR
Mailing Address - Street 2:SUITE 502
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4828
Mailing Address - Country:US
Mailing Address - Phone:305-669-1523
Mailing Address - Fax:786-497-4485
Practice Address - Street 1:6200 SUNSET DR
Practice Address - Street 2:SUITE 502
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4828
Practice Address - Country:US
Practice Address - Phone:305-669-1523
Practice Address - Fax:786-497-4485
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2011-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME78269207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG96167Medicare UPIN
FL35874Medicare ID - Type Unspecified