All Medicaid billing entities listing BERRIOS, LOURDES (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Puerto Rico | 1 | $3K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | FARMACIA SAN PABLO, INC. | CIDRA, PR | Community/Retail Pharmacy | $3K |