Organization Active NPI

Jose Ernesto Betancourt Diaz MD PA

  • Clinical Cardiac Electrophysiology Physician
  • Pembroke Pines, FL
National Provider Identifier
1447840947
Registry record updated May 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
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

Updated by the provider on May 1, 2022

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)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X
Clinical Cardiac Electrophysiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.