Individual provider Active NPI

Magdalena G. Beltre, M.D.

  • Internal Medicine Physician
  • Ocoee, FL
National Provider Identifier
1811900954
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME73367 Issued in FL
Practice address
8849 W Colonial Dr
Ocoee, FL 34761-6951
Phone
(844) 665-4827
NPI assigned
Aug 13, 2006
Last updated
Nov 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME73367 FL Primary

Addresses

Primary practice location

8849 W Colonial Dr
Ocoee, FL 34761-6951

Mailing address

106 Boston Ave
Ste 206
Altamonte Springs, FL 32701
Phone (407) 339-2910

Other practice location 1

106 Boston Avenue
ste 206
Altamonte Springs, FL 32701
Phone (407) 339-2910

Other identifiers 1

IdentifierTypeStateIssuer
252739100MedicaidFL

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040807000156 FL Practitioner - Internal Medicine 8820060197 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Healthcare Associates, Inc CurrentSince May 22, 2013 Accepting new patients
Magnus Medical Center Inc CurrentSince Jun 24, 2023 Accepting new patients
Greater Orlando Hospitalists Internal Medicine PastSince May 1, 2006 Accepting new patients

Locations

308 W Bass St
Kissimmee, FL 34741
Phone (407) 483-8801

2105 S Park Ave
Sanford, FL 32771
Phone (407) 330-9082

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1811900954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 BOSTON AVE",
            "address_2": "STE 206",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "32701",
            "telephone_number": "407-339-2910",
            "fax_number": "407-830-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8849 W COLONIAL DR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347616951",
            "telephone_number": "844-665-4827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Boston Avenue",
            "address_2": "ste 206",
            "address_purpose": "LOCATION",
            "city": "Altamonte Springs",
            "state": "FL",
            "postal_code": "32701",
            "country_code": "US",
            "telephone_number": "407-339-2910",
            "fax_number": "407-830-7801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELTRE",
        "first_name": "MAGDALENA",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME73367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252739100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

Verify at the official NPI Registry.