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NPI Code Detail

MEDICARE: DR. JUAN M BERTRAN M.D.

MEDICARE:  DR. JUAN M BERTRAN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician5625PR

General Provider Information

NPI Number : 1306829981
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUAN M BERTRAN M.D.
Provider Business Mailing Address
First Line : 1670 CALLE GERANIO
Second Line :
City : SAN JUAN
State : PR
Zip : 00927-6320
Country : US
Telephone Number : 787-764-1284
Fax Number : 787-772-4500
Provider Business Practice Location Address
First Line : AVE DEGETAU
Second Line : URB. SAN ALFONSO D5
City : CAGUAS
State : PR
Zip : 00725-5819
Country : US
Telephone Number : 787-746-6576
Fax Number : 787-744-9434
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2005
Last Update Date : 07/08/2007

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Directions to “ DR. JUAN M BERTRAN M.D.” Practice Location

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