Individual
JOSE A BERTA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
713 SE 9TH TER, CAPE CORAL, FL 33990-2842
(239) 214-4433
Mailing address
713 SE 9TH TER, CAPE CORAL, FL 33990-2842
(239) 214-4433
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9593202
FL
363A00000X
Physician Assistant
Primary
002968-PA
PR
Other
Enumeration date
05/15/2013
Last updated
02/25/2026
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