Provider Demographics
NPI:1982929287
Name:COLON BERRIOS, AMARILIS
Entity type:Individual
Prefix:DR
First Name:AMARILIS
Middle Name:
Last Name:COLON BERRIOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 JUPITER BEACH RD
Mailing Address - Street 2:
Mailing Address - City:GROVELAND
Mailing Address - State:FL
Mailing Address - Zip Code:34736-8281
Mailing Address - Country:US
Mailing Address - Phone:352-842-9227
Mailing Address - Fax:
Practice Address - Street 1:605 JUPITER BEACH RD
Practice Address - Street 2:
Practice Address - City:GROVELAND
Practice Address - State:FL
Practice Address - Zip Code:34736-8281
Practice Address - Country:US
Practice Address - Phone:352-842-9227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-30
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3514103T00000X
FLPY10918103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist