MEDICARE: BERTA GUERRA MD

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
1	2084P0800X	Psychiatry Physician	78122	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528088341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BERTA GUERRA MD

Provider Business Mailing Address
First Line	:	PO BOX 143527
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33114-3527
Country	:	US
Telephone Number	:	305-669-8350
Fax Number	:	650-649-6402

Provider Business Practice Location Address
First Line	:	4175 W 20TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-5874
Country	:	US
Telephone Number	:	305-825-0300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	11/05/2025

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