Provider Demographics
NPI:1043558638
Name:ARGENTO-BERRIO, ALEXANDRA GISELLE (MD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:GISELLE
Last Name:ARGENTO-BERRIO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ALEXANDRA
Other - Middle Name:GISELLE
Other - Last Name:DE LA ROSA BERRIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2317 INTERNATIONAL LN STE 118
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53704-3154
Mailing Address - Country:US
Mailing Address - Phone:608-305-4030
Mailing Address - Fax:608-305-8941
Practice Address - Street 1:2317 INTERNATIONAL LN STE 118
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53704-3154
Practice Address - Country:US
Practice Address - Phone:608-305-4030
Practice Address - Fax:608-305-8941
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-17
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD61192971207Q00000X
374J00000X
WI77671-20207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No374J00000XNursing Service Related ProvidersDoula