| Mrs Luz M Alicea Berrios, MD | |
|
1425 Dunn Ave, Daytona Beach, FL 32114 | |
| (386) 323-9600 | |
| (386) 323-9695 |
| Full Name | Mrs Luz M Alicea Berrios |
|---|---|
| Gender | Female |
| Speciality | General Practice |
| Location | 1425 Dunn Ave, Daytona Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508833104 | NPI | - | NPPES |
| 019698900 | Medicaid | FL | |
| IV081Z | Other | FL | FL M CARE |
| ACN880 | Other | FL | FLORIDA MEDICAL LICENSE |
| 8286 | Other | CRUZ AZUL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 8391 (Puerto Rico) | Secondary |
| 208D00000X | General Practice | ACN880 (Florida) | Primary |
| Entity Name | Rural Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871569061 PECOS PAC ID: 7214849520 Enrollment ID: O20031219000375 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Luz M Alicea Berrios, MD 1302 River St, Palatka, FL 32177-5042 Ph: (386) 328-0108 | Mrs Luz M Alicea Berrios, MD 1425 Dunn Ave, Daytona Beach, FL 32114 Ph: (386) 323-9600 |
Dr. Loretha King, DO General Practice Medicare: Not Enrolled in Medicare Practice Location: 143 Executive Cir, Daytona Beach, FL 32114 Phone: 772-233-9515 | |
Dr. Monica Edith Cantu, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 1890 Lpga Blvd Ste 130, Primecare At Twin Lakes, Daytona Beach, FL 32117 Phone: 386-274-2212 Fax: 386-274-1508 | |
Dr. Cesar Arturo Calderon, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 3950 Tiger Bay Rd, Tomoka Correctional Institution Medical Dept, Daytona Beach, FL 32124 Phone: 386-323-1120 Fax: 386-323-1168 | |
Dr. Milton Mendez, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 3950 Tiger Bay Road, Medical Department Tomoka Correctional Institution, Daytona Beach, FL 32124 Phone: 386-323-1141 Fax: 386-323-1168 | |
Dr. Angel Emanuel Benitez, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 1425 Dunn Ave, Daytona Beach, FL 32114 Phone: 386-323-9600 | |
Dr. Ronald Dean Lippmann, D.O. General Practice Medicare: Medicare Enrolled Practice Location: 2381 Mason Ave, Ste 100, Daytona Beach, FL 32117 Phone: 321-207-9029 Fax: 844-410-7960 |