BERTILIA TAVAREZ
NPI 1649965260
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Q: What is Bertilia Tavarez's NPI number?

The NPI number for Bertilia Tavarez is 1649965260. It was assigned to this individual provider in the NPPES registry on April 10, 2023.

Q: What is Bertilia Tavarez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Bertilia Tavarez was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 10, 2023PECOS Enrolled

833 CHESTNUT ST STE 220, PHILADELPHIA, PA 19107(215) 955-8465 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 21, 2023, Apr 10, 2023 (3 updates tracked since 2023).

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About Bertilia Tavarez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BERTILIA TAVAREZ (NPI 1649965260) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649965260

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameBERTILIA TAVAREZ

Location Address833 CHESTNUT ST STE 220Philadelphia, PA 19107-4405

Mailing Address833 Chestnut St Ste 220Philadelphia, PA 19107-4405 · (215) 955-8465

Phone(215) 955-8465

Sole ProprietorYes

Enumeration DateApril 10, 2023

Last NPPES UpdateSeptember 11, 20253 updates tracked since enumeration

NPPES CertifiedAugust 21, 2023

✔ NPI 1649965260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

833 CHESTNUT ST STE 220, Philadelphia, PA 19107

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bertilia Tavarez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RISA GOLDBERG

Student in an Organized Health Care Education/Training Program