| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MARTHA CECILIA BOTERO ROVIRA | 1922581636 | 2023-03-24 |
Martha C Botero Rovira [F] graduated in 2018 and primarily specializes in Physician Assistant.
Martha Cecilia Botero Rovira is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1922581636. Registration indicates Martha Cecilia Botero Rovira is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| PECOS ID | 8022355346 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Martha Cecilia Botero Rovira PA-C |
| Other Provider Name | Martha Cecilia Sommer |
| Practice Office Address | 1192 E NEWPORT CENTER DR STE 100 DEERFIELD BEACH, FL US |
| Practice Office Telephone | 3052438644 |
| Mailing Address | 1192 E NEWPORT CENTER DR STE 100 DEERFIELD BEACH, FL 334427749 US |
| Business Telephone | 3052438644 |
| Direct Messaging Address [] | [email protected] | Direct |
| Code | Practice | License No State |
|---|---|---|
| 363A00000X | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | 9111516
FL |
| 363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | PA9111516
FL |