Organization Active NPI

C Betancourt Med Tech Inc

  • General Practice Physician
  • Maumee, OH
National Provider Identifier
1659522217
Registry record updated Oct 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
C BETANCOURT MED TECH INC
Practice address
427 W Dussel Dr
Ste 336
Maumee, OH 43537-4208
Phone
(419) 490-6122
NPI assigned
Oct 1, 2008
Last updated
Oct 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2008

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

Authorized official

Name
Mr. Jose Carlos Rios Betancourt
Title
Owner
Phone
(419) 490-6122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X OH Primary

Addresses

Primary practice location

427 W Dussel Dr
Ste 336
Maumee, OH 43537-4208

Mailing address

427 W Dussel Dr
Ste 336
Maumee, OH 43537-4208
Phone (419) 490-6122

National Provider Directory

National Provider Directory

Locations

427 W Dussel Dr
Ste 336
Maumee, OH 43537
Phone (419) 490-6122

NPI Registry JSON

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1659522217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 W DUSSEL DR",
            "address_2": "STE 336",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435374208",
            "telephone_number": "419-490-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 W DUSSEL DR",
            "address_2": "STE 336",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435374208",
            "telephone_number": "419-490-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C BETANCOURT MED TECH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-01",
        "last_updated": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "RIOS BETANCOURT",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-490-6122",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; 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.