| Jorge Betancourt, M.d., Pa | |
|
1850 Sw 8 St Suite 304 Miami FL 33135 | |
| (305) 649-1395 | |
| (305) 649-1396 |
| Full Name | Jorge Betancourt, M.d., Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1850 Sw 8 St, Miami, Florida |
| Authorized Official Name and Position | Jorge Betancourt (OWNER/PRESIDENT) |
| Authorized Official Contact | 3056491395 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jorge Betancourt, M.d., Pa 451806 Po Box Miami FL 33245-1806 Ph: (305) 649-1395 | Jorge Betancourt, M.d., Pa 1850 Sw 8 St Suite 304 Miami FL 33135 Ph: (305) 649-1395 |
| NPI Number | 1154609642 |
|---|---|
| Provider Enumeration Date | 08/01/2011 |
| Last Update Date | 08/01/2011 |
| Medicare PECOS PAC ID | 2860652559 |
|---|---|
| Medicare Enrollment ID | O20120404000958 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154609642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME0041415 (Florida) | Primary |
| 208D00000X | General Practice | ME0041415 (Florida) | Secondary |
| Provider Name | Jorge Betancourt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982707998 PECOS PAC ID: 7012177702 Enrollment ID: I20120404000985 |
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