Jorge Betancourt, M.D., PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME0041415 Issued in FL

Legal business name

JORGE BETANCOURT, M.D., PA

Practice address

1850 SW 8 St
Suite 304
Miami, FL 33135

Phone

(305) 649-1395

Fax

(305) 649-1396

NPI assigned

Aug 1, 2011

Organization subpart

Yes

Parent organization

JORGE BETANCOURT, M.D., PAAs reported in NPPES

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

Authorized official

Name

Jorge Betancourt, M.D.NPI 1982707998

Title

Owner/President

Phone

(305) 649-1395

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Part of

Jorge Betancourt MD PA

Locations

Networks

• HealthSun Health Plans Network

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jorge Betancourt, MD

  • Psychiatry Physician
  • Mia, FL
  • NPI 1982707998
  Medicare reassignment NPD Authorized official
• Rolando Gonzalez Arias, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
  • NPI 1780855866
  NPD (past)

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312156800000",
    "number": "1154609642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451806 PO BOX",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332451806",
            "telephone_number": "305-649-1395",
            "fax_number": "305-649-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 SW 8 ST",
            "address_2": "SUITE 304",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33135",
            "telephone_number": "305-649-1395",
            "fax_number": "305-649-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE BETANCOURT, M.D., PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JORGE BETANCOURT, M.D., PA",
        "enumeration_date": "2011-08-01",
        "last_updated": "2011-08-01",
        "status": "A",
        "authorized_official_last_name": "BETANCOURT",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "305-649-1395",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0041415",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME0041415",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorge a Herrera PHD PA
• Jorge a. Rodriguez, P.L.
• Jorge Acevedo Crespo MD PA
• Yorkis Damian Jorge Avila
• Dayana Jorge Barrios
• Jorge de la Portilla PA
• Jorge Diaz MD PA
• Jorge E Lopez Perez MD PA
• Jorge F Pimienta MD Inc
• Jorge F Pimienta MD Inc

• Psychiatry Physician in Miami, FL
• Providers in Miami, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.