Beltran Medical Group, LLC
Organization Active NPI Family Medicine Physician · Miami Dade, FL
NPI 1174845952 · NPPES record last updated Feb 22, 2010
Key facts
- NPI
- 1174845952
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- ME88244 (FL)
- Legal business name
- BELTRAN MEDICAL GROUP, LLC
- Practice address
- 14223 SW 42 St
Miami Dade, FL 33175-6408 - Phone
- (305) 551-2165
- Fax
- (305) 551-2167
- NPI assigned
- Feb 22, 2010
- Organization subpart
- No
Authorized official
- Name
- Idalmis Santana-Porben, MD
- Title
- President
- Phone
- (305) 551-2165
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | ME88244 | FL | Yes |
| Pediatrics Physician |
208000000X | ME91105 | FL | |
| General Practice Physician |
208D00000X | ME91105 | FL |
Addresses
Primary practice location
14223 SW 42 St
Miami Dade, FL 33175-6408
Mailing address
14223 SW 42 St
Miami Dade, FL 33175-6408
Phone (305) 551-2165
Other providers in Miami Dade, FL
All providers in Miami Dade, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.