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

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.

Title

Owner

Phone

(561) 514-5486

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2726165101",
            "state": "FL"
        }
    ],
    "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
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• 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.