Provider Demographics
NPI:1235422791
Name:ALDO F BERTI MD, PA
Entity Type:Organization
Organization Name:ALDO F BERTI MD, PA
Other - Org Name:MIAMI NEUROSURGICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALDO
Authorized Official - Middle Name:F
Authorized Official - Last Name:BERTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-661-8288
Mailing Address - Street 1:7600 SW 57TH AVE
Mailing Address - Street 2:SUITE 304
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-5428
Mailing Address - Country:US
Mailing Address - Phone:305-661-8288
Mailing Address - Fax:305-661-1874
Practice Address - Street 1:7600 SW 57TH AVE
Practice Address - Street 2:SUITE 304
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-5428
Practice Address - Country:US
Practice Address - Phone:305-661-8288
Practice Address - Fax:305-661-1874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-17
Last Update Date:2011-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL039923000Medicaid
D63533Medicare UPIN