Southwest Broward

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

12267 Issued in FL

Legal business name

SOUTHWEST BROWARD

Practice address

18503 Pines Blvd
Suite 305
Pembroke Pines, FL 33029-1404

Phone

(954) 392-1851

NPI assigned

Feb 25, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Alvaro Betancur

Title

President

Phone

(954) 392-1851

Specialties & licenses 4

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1053580027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18503 PINES BLVD",
            "address_2": "SUITE 305",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330291404",
            "telephone_number": "954-392-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18503 PINES BLVD",
            "address_2": "SUITE 305",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330291404",
            "telephone_number": "954-392-1851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST BROWARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "BETANCUR",
        "authorized_official_first_name": "ALVARO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-392-1851",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "12267",
            "primary": true
        },
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "FL",
            "license": "12267",
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "FL",
            "license": "12267",
            "primary": false
        },
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "12267",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southeast Perinatal Associates, Inc.
• Southern Care Solutions Inc.
• Southgate Administrative Services LLC (Doctors Express)
• Southwell Healthcare Inc (Saona Medical Center)
• Jennifer Southwell, OTR/L
• Isabela Souza
• Richard Soven, D.M.D.
• Gary Spanier, D.C.
• Shakeyia Reauchean Spann, MBA, LCSW
• Stanley A Spatz, M.D.

• Dental Clinic/Center in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.