Bertha Marcellino MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME92093 Issued in FL

Legal business name

BERTHA MARCELLINO MD PA

Practice address

3003 S Congress Ave
Suite 1C
Palm Springs, FL 33461-2169

Phone

(561) 433-3460

Fax

(561) 433-3828

NPI assigned

Jul 24, 2007

Last updated

Oct 8, 2010By 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

Bertha L Marcellino, M.D.NPI 1033144001

Title

Owner

Phone

(561) 514-5486

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bertha Marcellino, MD

  • General Practice Physician
  • Palm Springs, FL
  • NPI 1033144001
  Authorized official Same address or phone

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286496000000",
    "number": "1508066879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 S OCEAN BLVD APT 509",
            "city": "PALM BEACH",
            "state": "FL",
            "postal_code": "334805562",
            "telephone_number": "561-586-5083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 S CONGRESS AVE",
            "address_2": "SUITE 1C",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334612169",
            "telephone_number": "561-433-3460",
            "fax_number": "561-433-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERTHA MARCELLINO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2010-10-08",
        "status": "A",
        "authorized_official_last_name": "MARCELLINO",
        "authorized_official_first_name": "BERTHA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-514-5486",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME92093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Bennett
• Susan V Berlin, D.D.S.
• Maria Bermudez
• Maria Alejandra Bernard Flores
• Julian Berrocal, MD
• Joanne Marie Bertot Cotto, PHARM D
• Best Care at Home LLC
• Best Choice Medi Clinic LLC
• Better Hands Home Care LLC
• Seeta Bhaggan

• Family Medicine Physician in Palm Springs, FL
• Providers in Palm Springs, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; 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.