Individual ProviderGuadalupe Montesa BertinoPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address7825 Fay Ave, Ste 160, La Jolla, CA 92037-4252(858) 353-0259PECOS EnrollmentBased on the most recent information from CMS, provider Guadalupe Montesa Bertino does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1942285820Provider TypeIndividualFull NameBertino, Guadalupe MontesaCredentialMPTGenderFemaleSole ProprietorYesEnumeration Date12/13/2005Last Updated4/15/2010Contact InformationPractice LocationPractice Address7825 Fay Ave, Ste 160, La Jolla, CA 92037-4252Phone(858) 353-0259Fax(760) 438-8710Mailing LocationMailing Address4232 Corte Favor, San Diego, CA 92130-2181Phone(858) 353-0259Fax(760) 438-8710Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT26354California