NPIMap

Organization Active NPI

Bett-ER Support & Service Inc

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1356946016
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BETT-ER SUPPORT & SERVICE INC
Practice address
10691 N Kendall Dr Ste 304
Miami, FL 33176-1551
Phone
(786) 534-7172
Fax
(305) 441-9069
NPI assigned
Dec 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Authorized official

Name
Maria Jesus CruzNPI 1720515869
Title
President
Phone
(786) 534-7172

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X
Clinic/Center 261Q00000X

Addresses

Primary practice location

10691 N Kendall Dr Ste 304
Miami, FL 33176-1551

Mailing address

10691 N Kendall Dr Ste 304
Miami, FL 33176-1551
Phone (786) 534-7172

Other names 1

  • Advanced Health Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220927001968 FL Part B Supplier - Clinic/Group Practice 9133505233 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
Practice locations: Miami, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Advanced Health Clinic4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10691 N Kendall Dr
Ste 202
Miami, FL 33176
Phone (786) 813-5466

10691 N Kendall Dr
Ste 30
Miami, FL 33176
Phone (786) 534-7172

815 NW 57th Ave
Ste 114
Miami, FL 33126
Phone (305) 262-5457

10691 N Kendall Dr
Ste 304
Miami, FL 33176
Phone (305) 960-7900

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1356946016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10691 N KENDALL DR STE 304",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761551",
            "telephone_number": "786-534-7172",
            "fax_number": "305-441-9069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10691 N KENDALL DR STE 304",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761551",
            "telephone_number": "786-534-7172",
            "fax_number": "305-441-9069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETT-ER SUPPORT & SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-01",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "JESUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-534-7172"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.