Rafael Alberto Beltran Durango, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME72310 Issued in FL

Practice address

3637 4TH St N
Suite 480
St Petersburg, FL 33704-1355

Phone

(727) 894-2341

Fax

(727) 894-2386

NPI assigned

Sep 28, 2006

Last updated

Feb 8, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rafael Beltran MD PA

  • Psychiatry Physician
  • St Petersburg, FL
  • NPI 1851483838
  Authorized official Same address or phone
• Baycare Behavioral Health Centers, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • St Petersburg, FL
  • NPI 1306057187
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265587200000",
    "number": "1093807075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4777 ROYAL PALM CIR NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337033139",
            "telephone_number": "727-894-2341",
            "fax_number": "727-894-2386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3637 4TH ST N",
            "address_2": "SUITE 480",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337041355",
            "telephone_number": "727-894-2341",
            "fax_number": "727-894-2386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELTRAN DURANGO",
        "first_name": "RAFAEL",
        "middle_name": "ALBERTO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2010-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME72310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Griffin Bell, MD
• Marilyn Bellamy, ARNP
• Lana Bellon, MD
• Nicole Andrea Bellonzi
• Callie Ann Belskis
• Sarah Ashley Beltran, LCSW
• Cassie Belzer, CNM
• Aissa Bemo
• Bemservices Inc.
• Aimen Elmehdi Ben Ayad, M.D.

• Psychiatry Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; 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.