Organization Active NPI

Betancourt Community Center Corp

  • Community/Behavioral Health Agency
  • Doral, FL
National Provider Identifier
1144815473
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BETANCOURT COMMUNITY CENTER CORP
Practice address
1985 NW 88TH CT Ste 201
Doral, FL 33172-2638
Phone
(786) 282-6372
NPI assigned
Mar 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Authorized official

Name
Candido O Betancourt
Title
Owner
Phone
(786) 282-6372

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

1985 NW 88TH CT Ste 201
Doral, FL 33172-2638

Mailing address

1985 NW 88TH CT Ste 201
Doral, FL 33172-2638
Phone (786) 282-6372

National Provider Directory

National Provider Directory

Locations

1985 NW 88th Ct
Ste 201
Doral, FL 33172
Phone (728) 205-7519

NPI Registry JSON

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634860800000",
    "number": "1144815473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1985 NW 88TH CT STE 201",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722638",
            "telephone_number": "786-282-6372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 NW 88TH CT STE 201",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722638",
            "telephone_number": "786-282-6372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETANCOURT COMMUNITY CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A",
        "authorized_official_last_name": "BETANCOURT",
        "authorized_official_first_name": "CANDIDO",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-282-6372"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.