Damian Lazaro Betancourt, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11016496 Issued in FL

Practice address

8974 NW 178TH LN
Hialeah, FL 33018-6547

Phone

(786) 285-1344

NPI assigned

Nov 18, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Agustin Martinez M D P aGroup PAC ID 0840350716, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vida Home Health Services LLC Home health agency, Miami Lakes, FL, CCN 687164

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Agustin Martinez M D P a

  • Primary Care Clinic/Center
  • Hialeah, FL
  • NPI 1992892558
  Medicare reassignment Care Compare group NPD
• Silvia Silva-Duluc, MD PA

  • Psychiatry Physician
  • Miami, FL
  • NPI 1952599250
  Medicare reassignment NPD
• New Beginning Clinical Research L.L.C.

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1558160796
  NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Vida Home Health Services LLC

  • Home Health Agency
  • Miami Lakes, FL
  • NPI 1770160681
  Care Compare affiliation

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1669139176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8974 NW 178TH LN",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330186547",
            "telephone_number": "786-285-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8974 NW 178TH LN",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330186547",
            "telephone_number": "786-285-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETANCOURT",
        "first_name": "DAMIAN",
        "middle_name": "LAZARO",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11016496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maily Betancourt Miranda, SA-C
• Ihoanne M Betancourt Ruiz
• Tirsa Betancourt Vera
• Arely M Betancourt, D.D.S.
• Armando Betancourt
• Dianelys Betancourt
• Evelyn Betancourt
• Ivelisse Betancourt
• Juana Sofia Betancourt
• Kiara J Betancourt

• Family Nurse Practitioner in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.