Jose Luis Beltran, D.M.D., M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DN18552 Issued in FL

Practice address

11424 N 56TH St
Temple Terrace, FL 33617-2237

Phone

(813) 373-4573

Fax

(813) 388-6825

NPI assigned

Dec 31, 2008

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1230681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515542400000",
    "number": "1720224488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6003 GRAND PALM DR",
            "address_2": "#717",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472671",
            "telephone_number": "813-442-6162",
            "fax_number": "813-907-9166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11424 N 56TH ST",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336172237",
            "telephone_number": "813-373-4573",
            "fax_number": "813-388-6825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELTRAN",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-31",
        "last_updated": "2018-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN18552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose Beauge
• Kimberly Amanda Beckford, BCBA
• Becton Enterprises (Visiting Angels)
• Adam Donald Beeble, DO
• Rokeya Begum
• Luis Gabriel Beltran, MD
• Benaiah Healthcare LLC
• Mallelin Bengochea, APRN
• Eisy Ivonne Benitez
• Ethan Conner Bennett, DPT

• Dentist in Temple Terrace, FL
• Providers in Temple Terrace, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; 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.