| Marian Infectious Disease Pllc | |
|
10174 Belcrest Blvd Fort Myers FL 33913-2607 | |
| (646) 756-9337 | |
| Not Available |
| Full Name | Marian Infectious Disease Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10174 Belcrest Blvd, Fort Myers, Florida |
| Authorized Official Name and Position | Alvaro Jose Beltran (OWNER) |
| Authorized Official Contact | 6467569337 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marian Infectious Disease Pllc 10174 Belcrest Blvd Fort Myers FL 33913-2607 Ph: (646) 756-9337 | Marian Infectious Disease Pllc 10174 Belcrest Blvd Fort Myers FL 33913-2607 Ph: (646) 756-9337 |
| NPI Number | 1750998654 |
|---|---|
| Provider Enumeration Date | 09/25/2020 |
| Last Update Date | 09/25/2020 |
| Medicare PECOS PAC ID | 0941620751 |
|---|---|
| Medicare Enrollment ID | O20201016000943 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750998654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Alvaro J Beltran |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1235140419 PECOS PAC ID: 7416956784 Enrollment ID: I20100909000393 |
| Provider Name | Lianet Coello Blanco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033748041 PECOS PAC ID: 8921404955 Enrollment ID: I20210831000756 |
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