NPIMap

Organization Active NPI

Angel a Betancourt MD PA

  • Specialist
  • Coral Gables, FL
National Provider Identifier
1659547123
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME 91344 Issued in FL
Legal business name
ANGEL A BETANCOURT MD PA
Practice address
6705 S Red Rd
Suite 510
Coral Gables, FL 33143-3622
Phone
(305) 663-1266
Fax
(305) 663-8928
NPI assigned
May 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Authorized official

Name
Angel Alfonso Betancourt, M.D.
Title
President
Phone
(305) 663-1266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME 91344 FL Primary

Addresses

Primary practice location

6705 S Red Rd
Suite 510
Coral Gables, FL 33143-3622

Mailing address

6705 S Red Rd
Suite 510
Coral Gables, FL 33143-3622
Phone (305) 663-1266

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1659547123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6705 S RED RD",
            "address_2": "SUITE 510",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331433622",
            "telephone_number": "305-663-1266",
            "fax_number": "305-663-8928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6705 S RED RD",
            "address_2": "SUITE 510",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331433622",
            "telephone_number": "305-663-1266",
            "fax_number": "305-663-8928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL A BETANCOURT MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "BETANCOURT",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "ALFONSO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-663-1266",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME 91344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.