Active NPI
Miguel Antonio Bertran, DC
- Chiropractor
- Guaynabo, PR
National Provider Identifier
1578283271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 849
- Practice address
- 69 Calle Reina Beatriz
Guaynabo, PR 00969-3272 - Phone
- (787) 429-0411
- NPI assigned
- Sep 1, 2022
- Last updated
- Sep 1, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 849 | PR | Primary |
Addresses
Primary practice location
69 Calle Reina Beatriz
Guaynabo, PR 00969-3272
Mailing address
1353 Luis Vigoreaux Ave.
PMB 870
Guaynabo, PR 00966
Phone (787) 429-0411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 849 | PR | MD | Pediatric Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661990400000",
"number": "1578283271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1353 LUIS VIGOREAUX AVE.",
"address_2": "PMB 870",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00966",
"telephone_number": "787-429-0411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 CALLE REINA BEATRIZ",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009693272",
"telephone_number": "787-429-0411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTRAN",
"first_name": "MIGUEL",
"middle_name": "ANTONIO",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-01",
"last_updated": "2022-09-01",
"certification_date": "2022-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PR",
"license": "849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.