Active NPI
Betancourt Community Center Corp
- Community/Behavioral Health Agency
- Doral, FL
National Provider Identifier
1144815473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.