Active NPI
Damian Beltran Garces, PA, SA-C
- Surgical Physician Assistant
- Miami Lakes, FL
National Provider Identifier
1841801685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 000754-PA
- Practice address
- 5803 NW 151St St Ste 202
Miami Lakes, FL 33014-2473 - Phone
- (305) 603-8844
- Fax
- (303) 675-8452
- NPI assigned
- Aug 14, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 21-517 | FL | |
| Surgical Physician Assistant | 363AS0400X | 000754-PA | PR | Primary |
Addresses
Primary practice location
5803 NW 151St St Ste 202
Miami Lakes, FL 33014-2473
Mailing address
5803 NW 151St St Ste 202
Miami Lakes, FL 33014-2473
Phone (305) 603-8844
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000754-PA | Other | PR | DEPARTAMENTO DE SALUD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Letter | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21-517 | FL | MD | Surgical Assistant |
| 000754-PA | PR | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632182400000",
"number": "1841801685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5803 NW 151ST ST STE 202",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330142473",
"telephone_number": "305-603-8844",
"fax_number": "303-675-8452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5803 NW 151ST ST STE 202",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330142473",
"telephone_number": "305-603-8844",
"fax_number": "303-675-8452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELTRAN GARCES",
"first_name": "DAMIAN",
"credential": "PA, SA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-14",
"last_updated": "2021-09-21",
"certification_date": "2021-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "FL",
"license": "21-517",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "PR",
"license": "000754-PA",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTAMENTO DE SALUD",
"identifier": "000754-PA",
"state": "PR"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Letter",
"affiliation": "N",
"endpointDescription": "Direct letter",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5803 NW 151st St Ste 202",
"city": "Miami Lakes",
"state": "FL",
"country_code": "US",
"postal_code": "330142473",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.