Bertorello, Maria J

Bertorello, Maria J is an individual health care provider with primary practice located at 12727 Kimberley Ln Suite 102, Houston TX 77024-4047. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Bertorello, Maria J can be contacted via phone (713) 468-3668.

Contact Information

Primary practice address
12727 Kimberley Ln Suite 102 Houston TX 77024-4047
Phone: (713) 468-3668
Fax: (713) 468-3676
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1164 Texas

Profile Details

NPI number 1639157035
LBN Legal business name Bertorello, Maria J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Dec 23rd, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639157035 NPPES
Texas MEDICAID 112217804

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