MADELINE VEGA BERRIOS


Address: 1714 E Irlo Bronson Memorial Hwy Ste A, Saint Cloud, FL 34771-5836
Phone: 4075834795

MADELINE VEGA BERRIOS (NPI# 1619585288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619585288
Entity Type Individual
Full Name MADELINE VEGA BERRIOS
Credential REGISTER NURSE
Practice Address 1714 E Irlo Bronson Memorial Hwy Ste A
Saint Cloud
FL 34771-5836
Practice Telephone 4075834795
Practice Fax Number 4075836412
Mailing Telephone 4075834795
Mailing Fax Number 4075836412
Enumeration Date 2020-07-20
Last Update Date 2020-07-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WA2000X Registered Nurse
Specialization: Administrator
9390051 FL Nursing Service Providers

Office Location

Street Address 1714 E IRLO BRONSON MEMORIAL HWY STE A
City SAINT CLOUD
State FL
Zip Code 34771-5836

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1679082895 Larisa Nadezhda Montano-romero Behavioral Analyst 2544 Jenscot Road, Saint Cloud, FL 34771 2017-09-20
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1588087548 Dawn Piper Massage Massage Therapist 1712 E Irlo Bronson Hwy, St Cloud, FL 34771 2014-01-28
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Taxonomy Information

Taxonomy Code 163WA2000X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Administrator

Taxonomy Definition

Definition to come...

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1215580980 Ann Rowles Foyt Registered Nurse 5913 Grand Loneoak Ln, Lithia, FL 33547-4874 2019-07-22
1841755782 Jewell D Lewis Registered Nurse 445 Sw Dalton Cir, Port Saint Lucie, FL 34953-5851 2019-02-05
1083185888 Audeanne D Donaldson Registered Nurse 2875 S Ocean Blvd Ste 226, Palm Beach, FL 33480-5590 2018-12-06
1972078517 Eric Shaver Registered Nurse 35 W Pine St, Orlando, FL 32801-2610 2018-10-10
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Competitor

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City SAINT CLOUD
Zip Code 34771

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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