Key Biscayne Pediatrics, P.a . / Jorge L. Bertran, MD.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME53162 Issued in FL

Legal business name

KEY BISCAYNE PEDIATRICS, P.A . / JORGE L. BERTRAN, MD.

Practice address

604 Crandon Boulevard
Suite 202
Key Biscayne, FL 33149

Phone

(305) 361-7979

Fax

(305) 361-6019

NPI assigned

Mar 11, 2015

Last updated

Mar 11, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jorge Luis Bertran, MD

Title

MD

Phone

(305) 361-7979

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1396138608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 CRANDON BOULEVARD",
            "address_2": "SUITE 202",
            "city": "KEY BISCAYNE",
            "state": "FL",
            "postal_code": "33149",
            "telephone_number": "305-361-7979",
            "fax_number": "305-361-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 CRANDON BOULEVARD",
            "address_2": "SUITE 202",
            "city": "KEY BISCAYNE",
            "state": "FL",
            "postal_code": "33149",
            "telephone_number": "305-361-7979",
            "fax_number": "305-361-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY BISCAYNE PEDIATRICS, P.A . / JORGE L. BERTRAN, MD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "BERTRAN",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "305-361-7979",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME53162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Kelso, LMT, EST
• Hamid Reza Keshvari Rasti, MD
• Key Anesthesia LLC
• Key Biscayne Eye Associates, PLLC (Key Biscayne Eye Associates)
• Key Biscayne Pediatric Associates, Inc
• Key Biscayne Physical Therapy L.L.C.
• Key Biscayne Psychiatry
• Key Biscayne Surgery Center LLC
• Key Biscayne Surgical Center LLC
• Khouri Laboratories, Inc

• Pediatrics Physician in Key Biscayne, FL
• Providers in Key Biscayne, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.