Individual provider Active NPI

Juan M Bertran, M.D.

  • Orthopaedic Surgery Physician
  • Caguas, PR
National Provider Identifier
1306829981
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
5625 Issued in PR
Practice address
Ave Degetau
Urb. San Alfonso D5
Caguas, PR 00725-5819
Phone
(787) 746-6576
Fax
(787) 744-9434
NPI assigned
Nov 28, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 5625 PR Primary

Addresses

Primary practice location

Ave Degetau
Urb. San Alfonso D5
Caguas, PR 00725-5819

Mailing address

1670 Calle Geranio
San Juan, PR 00927-6320
Phone (787) 764-1284

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131203000719 PR Practitioner - Orthopedic Surgery 7416183116 Practice locations: Caguas, PR

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Puerto Rico School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

D5 Ave Degetau
Caguas, PR 00725-5838
Phone (787) 746-6576

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5625PRMDClinical Psychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306829981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 CALLE GERANIO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276320",
            "telephone_number": "787-764-1284",
            "fax_number": "787-772-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE DEGETAU",
            "address_2": "URB. SAN ALFONSO D5",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007255819",
            "telephone_number": "787-746-6576",
            "fax_number": "787-744-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTRAN",
        "first_name": "JUAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PR",
            "license": "5625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.