Active NPI
Jose Ernesto Betancourt Diaz MD PA
- Clinical Cardiac Electrophysiology Physician
- Pembroke Pines, FL
National Provider Identifier
1447840947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- Legal business name
- JOSE ERNESTO BETANCOURT DIAZ MD PA
- Practice address
- 601 N Flamingo Rd Ste 306
Pembroke Pines, FL 33028-1010 - Phone
- (786) 363-8587
- Fax
- (786) 363-8587
- NPI assigned
- Jan 19, 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
- Jose Ernesto Betancourt, MD
- Title
- President
- Phone
- (786) 363-8587
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | |||
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | Primary |
Addresses
Primary practice location
601 N Flamingo Rd Ste 306
Pembroke Pines, FL 33028-1010
Mailing address
601 N Flamingo Rd Ste 306
Pembroke Pines, FL 33028-1010
Phone (786) 363-8587
Other names 1
- Cardiology Electrophysiology Clinic
National Provider Directory
National Provider DirectoryLocations
1550 W 84th St
Ste 64
Hialeah, FL 33014
Phone (305) 825-3962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651363200000",
"number": "1447840947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 N FLAMINGO RD STE 306",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330281010",
"telephone_number": "786-363-8587",
"fax_number": "786-363-8587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 N FLAMINGO RD STE 306",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330281010",
"telephone_number": "786-363-8587",
"fax_number": "786-363-8587"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSE ERNESTO BETANCOURT DIAZ MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-19",
"last_updated": "2022-05-01",
"certification_date": "2022-05-01",
"status": "A",
"authorized_official_last_name": "BETANCOURT",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "ERNESTO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "786-363-8587",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cardiology Electrophysiology Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.