Provider Demographics
NPI:1225924723
Name:RODRIGUEZ-CAMPOS, BERTILA
Entity type:Individual
Prefix:
First Name:BERTILA
Middle Name:
Last Name:RODRIGUEZ-CAMPOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1951 E 13TH ST
Mailing Address - Street 2:
Mailing Address - City:CRETE
Mailing Address - State:NE
Mailing Address - Zip Code:68333-2500
Mailing Address - Country:US
Mailing Address - Phone:402-826-2106
Mailing Address - Fax:
Practice Address - Street 1:1951 E 13TH ST
Practice Address - Street 2:
Practice Address - City:CRETE
Practice Address - State:NE
Practice Address - Zip Code:68333-2500
Practice Address - Country:US
Practice Address - Phone:402-826-2106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist