Ivan A Bertot

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11009321 Issued in FL

Practice address

8757 NW 139TH Ter
Miami Lakes, FL 33018-7379

Phone

(786) 333-6191

NPI assigned

Oct 14, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Access Medical Centers LLCGroup PAC ID 4284040734, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Access Medical Centers LLC

  • Clinic/Center
  • Doral, FL
  • NPI 1386247351
  Medicare reassignment Care Compare group NPD
• Access Medical Centers LLC

  • Clinic/Center
  • Homestead, FL
  • NPI 1932999521
  NPD

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1356949192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8757 NW 139TH TER",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330187379",
            "telephone_number": "786-333-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8757 NW 139TH TER",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330187379",
            "telephone_number": "786-333-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTOT",
        "first_name": "IVAN",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-14",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11009321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadieska Benitez Gort
• Ana L Benitez
• Eimy Ruby Benitez, RBT
• Emely Beatris Benitez
• Angelica Berni, PHARMD
• Best ABA Services Inc
• Best Care Rehab Center, Inc.
• Best Choose Medical Center Corp
• Nicole F Besu, D.M.D., M.S.
• Beta Proffesional Services , Inc

• Family Nurse Practitioner in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.