Organization Active NPI

Raul J Beltran

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1598599722
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
RAUL J BELTRAN
Practice address
10967 Lake Underhill Rd Ste 107
Orlando, FL 32825-4434
Phone
(321) 306-6014
Fax
(321) 732-4932
NPI assigned
Aug 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Authorized official

Name
Dr. Raul J Beltran, DNP,FNP-CNPI 1861003949
Title
DNP,FNP-C
Phone
(407) 973-4537

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

10967 Lake Underhill Rd Ste 107
Orlando, FL 32825-4434

Mailing address

10967 Lake Underhill Rd Ste 107
Orlando, FL 32825-4434
Phone (407) 973-4537

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250310003018 FL Part B Supplier - Clinic/Group Practice 1456872183 Receives reassigned benefits from 3 practitioners
Practice locations: Orlando, FL

National Provider Directory

National Provider Directory

Locations

10967 Lake Underhill Rd
Ste 107
Orlando, FL 32825
Phone (321) 306-6014

Practitioners & affiliated clinicians

Practitioners 3

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": "1724889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740614400000",
    "number": "1598599722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10967 LAKE UNDERHILL RD STE 107",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254434",
            "telephone_number": "407-973-4537",
            "fax_number": "407-264-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10967 LAKE UNDERHILL RD STE 107",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254434",
            "telephone_number": "321-306-6014",
            "fax_number": "321-732-4932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAUL J BELTRAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-29",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "BELTRAN",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DNP,FNP-C",
        "authorized_official_telephone_number": "407-973-4537",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP,FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.