Provider Demographics
NPI:1306829981
Name:BERTRAN, JUAN M (MD)
Entity Type:Individual
Prefix:DR
First Name:JUAN
Middle Name:M
Last Name:BERTRAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1670 CALLE GERANIO
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927-6320
Mailing Address - Country:US
Mailing Address - Phone:787-764-1284
Mailing Address - Fax:787-772-4500
Practice Address - Street 1:AVE DEGETAU
Practice Address - Street 2:URB. SAN ALFONSO D5
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-5819
Practice Address - Country:US
Practice Address - Phone:787-746-6576
Practice Address - Fax:787-744-9434
Is Sole Proprietor?:No
Enumeration Date:2005-11-28
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR5625207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery