BERRIOS ANTUNA FAMILY PRACTICE, PC (NPI# 1578702205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578702205 |
| Entity Type | Organization |
| Organization Name | BERRIOS ANTUNA FAMILY PRACTICE, PC |
| Practice Address |
6224 Michigan Ave Detroit MI 48210-2953 |
| Practice Telephone | 3135749266 |
| Mailing Telephone | 3135749266 |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2015-12-21 |
| Authorized Official Name | DR. EMILIO J BERRIOS-ANTUNA (OWNER) |
| Authorized Official Telephone | 3135749266 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
4301088825 | MI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | LICENSE NUMBER | 4301088825 | 01 |
| Street Address |
6224 MICHIGAN AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48210-2953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912023375 | M & N Cola Inc. | Clinic/Center | 6224 Michigan Ave, Detroit, MI 48210-2953 | 2007-03-21 |
| 1831212125 | Emilio Jose Berrios Antuna | General Practice | 6224 Michigan Ave, Detroit, MI 48210-2953 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518517606 | Southwest Solutions | Counselor | 5716 Michigan, Detroit, MI 48210 | 2019-09-19 |
| 1942676150 | Audrey Hall | Case Manager/Care Coordinator | 6576 Woodrow St, Detroit, MI 48210 | 2015-08-12 |
| 1952705147 | Barbara Denise Mccowin-west | Technician, Other | 6900 Mcgraw, Detroit, MI 48210 | 2014-10-16 |
| 1922259456 | Dawn Marie Sanderson | Counselor | 5613 Livernois, Detroit, MI 48210 | 2008-10-02 |
| 1366552804 | American Indian Health and Family Services of Southeastern Mi Inc | In Home Supportive Care | 4880 Lawndalestreet, Detroit, MI 48210 | 2006-08-30 |
| 1912950163 | Irwin Rabinowitz | Pharmacist | Junction Clinic Pharmacy 4771 Michigan Ave., Detroit, MI 48210 | 2006-05-18 |
| 1295229110 | Anne Marie Galus | Dentist | 5716 Michigan Ave, Detroit, MI 48210 | 2018-06-15 |
| 1124547948 | Sarah Fay Walsworth | Physician Assistant | 5716 Michigan Ave, Detroit, MI 48210 | 2017-09-13 |
| 1538305909 | Barbara Ann Menzies-williams | Internal Medicine | 6550 W Warren Ave, Detroit, MI 48210 | 2009-01-06 |
| 1760678437 | Clement T Piaskowski | Optometrist | 7433 Michigan Ave, Detroit, MI 48210 | 2007-09-17 |
| Find all providers in zip 48210 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598242455 | Gratiot Advanced Center LLC | Clinic/Center | 7612 Gratiot Ave Ste 200, Detroit, MI 48213-2822 | 2018-07-24 |
| 1861747180 | Dhupati Sitaram, M.d., P.C. | Clinic/Center | 6001 W Outer Dr, Suite 300, Detroit, MI 48235-2614 | 2012-07-24 |
| 1821319625 | Global Health Matters Pllc | Clinic/Center | 2711 E Jefferson Ave, Detroit, MI 48207-4105 | 2010-06-15 |
| 1205820461 | Michigan Bone and Mineral Clinic, P.C. | Clinic/Center | 22201 Moross Rd, Suite 260, Detroit, MI 48236-2169 | 2005-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684386 | True Women's Clinic of Grand Rapids, PC | Clinic/Center | 2144 E Paris Ave Se Ste 230, Grand Rapids, MI 49546-6111 | 2020-09-18 |
| 1497397202 | Kimberly Wallace Md PC | Clinic/Center | 12900 W 9 Mile Road, Oak Park, MI 48237 | 2019-10-14 |
| 1265081418 | Cherry Street Services Inc | Clinic/Center | 2125 Wrenwood St Sw Ofc Therapist, Wyoming, MI 49519-2362 | 2019-09-10 |
| 1023662079 | J & D Vision Inc | Clinic/Center | 41821 Garfield Rd, Clinton Twp, MI 48038-1965 | 2019-07-29 |
| 1649839945 | Michigan Institute of Sleep Disorders Pllc | Clinic/Center | 7108 Autumn Hill Dr, West Bloomfield, MI 48323-3904 | 2019-06-10 |
| 1447715131 | Ryan Klanseck, Do | Clinic/Center | 16986 Robbins Rd Ste 140, Grand Haven, MI 49417-2795 | 2019-02-06 |
| 1902356140 | Midmichigan Pain | Clinic/Center | 2305 Hawthorn Dr, Suite B, Mt Pleasant, MI 48858-1202 | 2016-10-12 |
| 1184085516 | Hester S Pernell Md Pllc | Clinic/Center | 24628 Ridgeview Dr, Farmington Hills, MI 48336-1905 | 2016-03-12 |
| 1275937625 | Innovative Anesthesia Services PC | Clinic/Center | 847 Parchment Dr Se Ste 105, Grand Rapids, MI 49546 | 2014-10-14 |
| 1538569439 | Maple Healthcare Medical Center P.C. | Clinic/Center | 2442 E Maple Ave Ste 400, Flint, MI 48507-4462 | 2014-08-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BERRIOS ANTUNA FAMILY PRACTICE, PC.
| 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.