Active NPI
Nitza M Bertran, DOCTORATE
- Specialist
- Rio Grande, PR
National Provider Identifier
1114970316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 11137
- Practice address
- Carr. #3 KM. 25.7 Sector Juan Gonzalez
Rio Grande, PR 00745 - Phone
- (787) 887-5577
- NPI assigned
- May 18, 2006
- Last updated
- Mar 24, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 11137 | PR | Primary |
Addresses
Primary practice location
Carr. #3 KM. 25.7 Sector Juan Gonzalez
Rio Grande, PR 00745
Mailing address
Cond. Tiffany Apt. 704
4939 Ave. Isla Verde
Carolina, PR 00979-5406
Phone (787) 726-4677
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11137 | PR | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300924800000",
"number": "1114970316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COND. TIFFANY APT. 704",
"address_2": "4939 AVE. ISLA VERDE",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009795406",
"telephone_number": "787-726-4677",
"fax_number": "787-887-5577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR. #3 KM. 25.7 SECTOR JUAN GONZALEZ",
"city": "RIO GRANDE",
"state": "PR",
"postal_code": "00745",
"telephone_number": "787-887-5577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTRAN",
"first_name": "NITZA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DOCTORATE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-18",
"last_updated": "2011-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PR",
"license": "11137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rio Grande, PR
- Miguel D Bello Sanchez, RN BSN
- Jonathan Benitez-Gonzalez, M.D.
- Xiomara Bermudez, TEC DE FARMACIA
- Yamilette Berrios Mota, PHD.
- Alma I Berrios Suarez, MD
- Bio-Medical Applications of Puerto Rico, Inc. (Fresenius Medical Care Rio Grande Dialysis)
- Gladymar Bonilla Diaz, M.D
- Mayra E. Brea Perez, M.D.
- Marta Brito Hernandez
- Adolfo David Calcano
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.