Bagaria, Bertha Ofelia

Bagaria, Bertha Ofelia is an sole proprietor health care provider with primary practice located at 1000 Ponce De Leon Blvd Suite # 125, Coral Gables FL 33134-3353. She recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as her primary health care specialty. Bagaria, Bertha Ofelia can be contacted via phone (305) 490-9641.

Contact Information

Primary practice address
1000 Ponce De Leon Blvd Suite # 125 Coral Gables FL 33134-3353
Phone: (305) 490-9641
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PY4587 Florida

Profile Details

NPI number 1851349138
LBN Legal business name Bagaria, Bertha Ofelia
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2006
Last updated Feb 13th, 2009 - about 17 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 1851349138 NPPES
Florida MEDICAID 075820500

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