Individual provider Active NPI

Martha Lucilla Bertin, ARNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1780873869
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 2497252 Issued in FL
Practice address
11030 S. W. 167TH Street
Miami, FL 33157-2852
Phone
(305) 254-0574
Fax
(305) 254-0294
NPI assigned
Oct 15, 2007
Last updated
Oct 15, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP 2497252 FL Primary

Addresses

Primary practice location

11030 S. W. 167TH Street
Miami, FL 33157-2852

Mailing address

11031 S.W. 167TH Street
Miami, FL 33157-2852
Phone (305) 254-0574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP 2497252FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1780873869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11031 S.W. 167TH STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331572852",
            "telephone_number": "305-254-0574",
            "fax_number": "305-254-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11030 S. W. 167TH STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331572852",
            "telephone_number": "305-254-0574",
            "fax_number": "305-254-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTIN",
        "first_name": "MARTHA",
        "middle_name": "LUCILLA",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 2497252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.