Organization Active NPI

Wiljon W Beltre MD PA

  • Surgery Physician
  • Altamonte Springs, FL
National Provider Identifier
1124227988
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME76567 Issued in FL
Legal business name
WILJON W BELTRE MD PA
Practice address
106 Boston Ave
Suite 206
Altamonte Springs, FL 32701-4731
Phone
(407) 830-6868
Fax
(407) 830-7801
NPI assigned
Jul 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Authorized official

Name
Dr. Wiljon W Beltre, MD
Title
Owner
Phone
(407) 830-6868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X ME76567 FL Primary

Addresses

Primary practice location

106 Boston Ave
Suite 206
Altamonte Springs, FL 32701-4731

Mailing address

106 Boston Ave Ste 206
Altamonte Springs, FL 32701-4712
Phone (407) 830-6868

Other identifiers 1

IdentifierTypeStateIssuer
256082800MedicaidFL

National Provider Directory

National Provider Directory

Locations

106 Boston Ave
Ste 206
Altamonte Springs, FL 32701
Phone (407) 339-2910

685 Palm Springs Dr
Ste 1E
Altamonte Springs, FL 32701
Phone (407) 636-2437

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1124227988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 BOSTON AVE STE 206",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014712",
            "telephone_number": "407-830-6868",
            "fax_number": "407-830-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 BOSTON AVE",
            "address_2": "SUITE 206",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014731",
            "telephone_number": "407-830-6868",
            "fax_number": "407-830-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILJON W BELTRE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "BELTRE",
        "authorized_official_first_name": "WILJON",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-830-6868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME76567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256082800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.