Individual provider Active NPI

Marta J Berio, MD

  • Pediatrics Physician
  • Largo, FL
National Provider Identifier
1013905066
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME55209 Issued in FL
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
258491300MedicaidFL

Other names 1

  • Marta J Berio Alvarez Other name

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

LicenseStateTypeSpecialty
ME55209FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mariano D Cibran, MD Corp Dba St Petersburg Pediatrics Pediatrics PastSince Jun 22, 2021 Accepting new patients
Evening Pediatrics, Inc Pediatrics PastSince Jun 22, 2021 Accepting new patients
Your Kids Urgent Care Alabama Pediatrics PastSince Oct 5, 2019 Accepting new patients
Mariano D Cibran, MD Corp Dba St Petersburg Pediatrics Pediatrics PastSince Jun 22, 2021 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 PastSince Jun 22, 2021 Accepting new patients
Evening Pediatrics Inc PastSince Aug 7, 2022 Accepting new patients
Mariano D Cibran, MD Corp Dba St Petersburg Pediatrics Pediatrics PastSince Jun 22, 2021 Accepting new patients
Evening Pediatrics, Inc Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: marta.berio.1@8042.direct.athenahealth.com
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.