BERTHA MARCELLINO (NPI# 1033144001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033144001 |
| Entity Type | Individual |
| Full Name | BERTHA MARCELLINO |
| Credential | MD |
| Practice Address |
3003 S Congress Ave Suite 1c Palm Springs FL 33461-2169 |
| Mailing Address |
2860 S Ocean Blvd Apt 509 Palm Beach FL 33480-5562 |
| Practice Telephone | 5614333460 |
| Practice Fax Number | 5614333828 |
| Mailing Telephone | 5615865083 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2010-10-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
ME92093 | FL | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | ME92093 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 272165100 | 05 |
| Street Address |
3003 S CONGRESS AVE SUITE 1C |
| City | PALM SPRINGS |
| State | FL |
| Zip Code | 33461-2169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518932508 | Marie Carmel Tromans | Internal Medicine | 3003 S Congress Ave, Suite 2e, Palm Springs, FL 33461-2169 | 2006-02-22 |
| 1164969432 | Yolaine Saint Fort | Chiropractor | 3003 S Congress Ave, Suite 2e, Palm Springs, FL 33461-2169 | 2017-01-25 |
| 1669755948 | Anthony Caruso Pa | Chiropractor | 3003 S Congress Ave, Suite 2f, Palm Springs, FL 33461-2169 | 2011-09-23 |
| 1447412051 | Marie C Tromans Md Pa | Preferred Provider Organization | 3003 S Congress Ave, Suite 2e, Palm Springs, FL 33461-2169 | 2008-06-26 |
| 1386817641 | Chiropractic Works of Palm Beach Inc. | Chiropractor | 3003 S Congress Ave, Palm Springs, FL 33461-2169 | 2008-04-08 |
| 1689852915 | Abacoa Town Center Chiropractic Inc | Chiropractor | 3003 S Congress Ave, Suite 2f, Palm Springs, FL 33461-2169 | 2008-02-08 |
| 1508066879 | Bertha Marcellino Md Pa | Family Medicine | 3003 S Congress Ave, Suite 1c, Palm Springs, FL 33461-2169 | 2007-07-24 |
| 1427143742 | Anthony Joseph Caruso Jr. | Chiropractor | 3003 S Congress Ave, Suite #2f, Palm Springs, FL 33461-2169 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174167993 | Pcc Medical Holdings LLC | Health Maintenance Organization | 5055 South Congress Avenue, Suite 303, Lake Worth, FL 33461 | 2019-11-05 |
| 1841849692 | Five Star Medical Group Inc | Clinic/Center | 4300 10th Ave North, Suite 2, Lake Worth, FL 33461 | 2019-09-04 |
| 1346894375 | Patrick Pierre Jr. | Behavioral Analyst | 2430 Lake Worth Rd, Apt 2306, Lake Worth, FL 33461 | 2019-07-29 |
| 1740842699 | Amanda Shaw | Massage Therapist | 822 Lynnwood Dr, Lake Worth, FL 33461 | 2019-07-01 |
| 1043706005 | Elina Aguero Arman | Case Manager/Care Coordinator | 420 Alemeda Dr, Palm Springs, FL 33461 | 2018-07-02 |
| 1275028656 | Cagigas Dental Services Inc | Clinic/Center | 2311 10th Avenue North Suite 14, Lake Worth, FL 33461 | 2018-06-27 |
| 1972028447 | Annette Daley | Behavior Technician | 3595 2nd Ave North, Palm Springs, FL 33461 | 2017-08-07 |
| 1104349471 | Safe At Home Health Care, LLC | In Home Supportive Care | 555 Purdy Ln. #215, Palm Springs, FL 33461 | 2017-07-19 |
| 1609307271 | Yadira Perera | Assistant Behavior Analyst | 500 Davis Rd 42a, Palm Springs, FL 33461 | 2017-03-24 |
| 1982155842 | Palm Beach Addiction Center, Inc | Substance Abuse Rehabilitation Facility | 4196 Lake Worth Road, Lake Worth, FL 33461 | 2016-10-17 |
| Find all providers in zip 33461 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215372461 | Jonathan K Leong | General Practice | 2825 E Tahquitz Canyon Way Bldg A, Palm Springs, CA 92262-6907 | 2013-05-01 |
| 1548527534 | Congress Health Medical Center | General Practice | 3401 S Congress Ave Ste 207, Palm Springs, FL 33461-3066 | 2012-04-16 |
| 1255629739 | Mitchell Alan Atlas | General Practice | 1677 Sienna Ct, Palm Springs, CA 92262-2382 | 2011-07-18 |
| 1447496948 | John C Petricciani | General Practice | 1345 Ladera Cir, Palm Springs, CA 92262-4122 | 2009-01-05 |
| 1851504369 | Arthur Fred Greenwald | General Practice | 2966 E Vera Cruz Rd, Palm Springs, CA 92264-8727 | 2007-05-08 |
| 1477663821 | James Wesley Shaner | General Practice | 173 S Civic Dr Ste 4, Palm Springs, CA 92262-7215 | 2006-08-30 |
| 1619940129 | Delmar Ralph Aitken | General Practice | 392 Villaggio South, Palm Springs, CA 92262-4434 | 2006-02-07 |
| 1740283084 | Edith Ann Jones-poland | General Practice | 275 N El Cielo Rd, Palm Springs, CA 92262-6972 | 2005-05-31 |
| 1851895288 | Dina Albaree | General Practice | 1100 N Palm Canyon Dr Ste 109, Palm Springs, CA 92262-4418 | 2018-03-20 |
| 1366742967 | Value Md Group Corp | General Practice | 1964 S Congress Ave, Palm Springs, FL 33406-6674 | 2010-10-28 |
| Find all providers in PALM SPRINGS | ||||
| City | PALM SPRINGS |
| Zip Code | 33461 |
Please comment or provide details below to improve the information on BERTHA MARCELLINO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.