Active NPI
Marta J Berio, MD
- Pediatrics Physician
- Largo, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME55209
- Practice address
- 12170 Seminole Blvd
Largo, FL 33778-2833 - Phone
- (727) 586-5355
- Fax
- (727) 526-4346
- NPI assigned
- Oct 12, 2005
- Last updated
- Aug 3, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME55209 | FL | Primary |
Addresses
Primary practice location
12170 Seminole Blvd
Largo, FL 33778-2833
Mailing address
2115 Central Ave
St Petersburg, FL 33713-8815
Phone (727) 526-9135
Other practice location 1
4040 49th St N
St Petersburg, FL 33709-5734
Phone (727) 526-6483
Other practice location 2
12190 Seminole Blvd
Largo, FL 33778-2833
Phone (727) 586-6483
Other practice location 3
2115 Central Ave
St Petersburg, FL 33713-8815
Phone (727) 526-9135
Other practice location 4
4586 E Michigan St
Orlando, FL 32812-5233
Phone (407) 751-2297
Other practice location 5
3607 Aloma Ave Ste 1091
Oviedo, FL 32765-8856
Phone (321) 340-5919
Other practice location 6
2550 W Dr Mlk Blvd
Tampa, FL 33607-6302
Phone (813) 887-6648
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 258491300 | Medicaid | FL |
Other names 1
- Marta J Berio Alvarez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME55209 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mariano D Cibran, MD Corp Dba St Petersburg Pediatrics | Pediatrics | Past | Accepting new patients |
| Evening Pediatrics, Inc | Pediatrics | Past | Accepting new patients |
| Your Kids Urgent Care Alabama | Pediatrics | Past | Accepting new patients |
| Mariano D Cibran, MD Corp Dba St Petersburg Pediatrics | Pediatrics | Past | Accepting new patients |
| Mariano D Cibran, MD Corp Dba St Petersburg Pediatrics | Pediatrics | Past | Accepting new patients |
| Mariano D Cibran, MD Corp Dba St Petersburg Pediatrics | Pediatrics | Past | Accepting new patients |
| Evening Pediatrics Inc | Past | Accepting new patients | |
| Mariano D Cibran, MD Corp Dba St Petersburg Pediatrics | Pediatrics | Past | Accepting new patients |
| Evening Pediatrics, Inc | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- marta.berio.1@8042.direct.athenahealth.com
- mberio@stpetepeds.opdirect.net
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Your Kids Urgent Care
- Clinic/Center
- St Petersburg, FL
- NPI 1891833554
Pediatrics
-
- Pediatrics Physician
- St Petersburg, FL
- NPI 1154996510
-
- Pediatrics Physician
- St Petersburg, FL
- NPI 1558936922
-
- Pediatrics Physician
- St Petersburg, FL
- NPI 1578640181
-
- Pediatrics Physician
- Largo, FL
- NPI 1780259168
-
- Pediatrics Physician
- Seminole, FL
- NPI 1831764299
-
- Pediatrics Physician
- Vestavia Hills, AL
- NPI 1306404777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659484800000",
"number": "1013905066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2115 CENTRAL AVE",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337138815",
"telephone_number": "727-526-9135",
"fax_number": "727-526-4346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12170 SEMINOLE BLVD",
"city": "LARGO",
"state": "FL",
"postal_code": "337782833",
"telephone_number": "727-586-5355",
"fax_number": "727-526-4346"
}
],
"practiceLocations": [
{
"address_1": "4040 49th St N",
"address_purpose": "LOCATION",
"city": "St Petersburg",
"state": "FL",
"postal_code": "337095734",
"country_code": "US",
"telephone_number": "727-526-6483",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12190 Seminole Blvd",
"address_purpose": "LOCATION",
"city": "Largo",
"state": "FL",
"postal_code": "337782833",
"country_code": "US",
"telephone_number": "727-586-6483",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2115 Central Ave",
"address_purpose": "LOCATION",
"city": "St Petersburg",
"state": "FL",
"postal_code": "337138815",
"country_code": "US",
"telephone_number": "727-526-9135",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4586 E Michigan St",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328125233",
"country_code": "US",
"telephone_number": "407-751-2297",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3607 Aloma Ave Ste 1091",
"address_purpose": "LOCATION",
"city": "Oviedo",
"state": "FL",
"postal_code": "327658856",
"country_code": "US",
"telephone_number": "321-340-5919",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2550 W Dr Mlk Blvd",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336076302",
"country_code": "US",
"telephone_number": "813-887-6648",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERIO",
"first_name": "MARTA",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-12",
"last_updated": "2022-08-03",
"certification_date": "2022-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME55209",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "258491300",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARTA",
"last_name": "BERIO ALVAREZ",
"middle_name": "J",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.