Doctor Name: | DR. NITZA M BERTRAN |
NPI Number: | 1114970316 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DOCTORATE |
License Number: | 11137 |
Business Practice Address: | Carr. #3 Km. 25.7 Sector Juan Gonzalez Rio Grande, PR - 00745 |
Business Phone Number: | 7878875577 |
Business Fax Number: | |
Mailing Address: | Cond. Tiffany Apt. 704, 4939 Ave. Isla Verde CAROLINA |
State: | PR |
Postal Code: | 009795406 |
Phone Number: | 7877264677 |
Fax Number: | 7878875577 |
NPI Enumeration Date: | 05/18/2006 |
NPI Last Update Date: | 03/24/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 11137 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |