Beltran Medical Group, Llc | |
14223 Sw 42 St Miami Dade FL 33175-6408 | |
(305) 551-2165 | |
(305) 551-2167 |
Full Name | Beltran Medical Group, Llc |
---|---|
Speciality | Family Medicine |
Location | 14223 Sw 42 St, Miami Dade, Florida |
Authorized Official Name and Position | Idalmis Santana-porben (PRESIDENT) |
Authorized Official Contact | 3055512165 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Beltran Medical Group, Llc 14223 Sw 42 St Miami Dade FL 33175-6408 Ph: (305) 551-2165 | Beltran Medical Group, Llc 14223 Sw 42 St Miami Dade FL 33175-6408 Ph: (305) 551-2165 |
NPI Number | 1174845952 |
---|---|
Provider Enumeration Date | 02/22/2010 |
Last Update Date | 02/22/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174845952 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME88244 (Florida) | Primary |
208000000X | Pediatrics | ME91105 (Florida) | Secondary |
208D00000X | General Practice | ME91105 (Florida) | Secondary |