Provider Demographics
NPI:1053869586
Name:ARIAS BERRIOS, GABRIEL EDUARDO (MD)
Entity type:Individual
Prefix:
First Name:GABRIEL EDUARDO
Middle Name:
Last Name:ARIAS BERRIOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 CALLE SANTA CRUZ STE 303
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961-7049
Mailing Address - Country:US
Mailing Address - Phone:787-705-2944
Mailing Address - Fax:787-705-2943
Practice Address - Street 1:66 CALLE SANTA CRUZ STE 303
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-7049
Practice Address - Country:US
Practice Address - Phone:787-705-2944
Practice Address - Fax:787-705-2943
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-13
Last Update Date:2023-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR21482207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology