Rafael Beltran MD PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME72310 Issued in FL

Legal business name

RAFAEL BELTRAN MD PA

Practice address

3637 4TH St N
Suite 480
St Petersburg, FL 33704-1355

Phone

(727) 894-2341

Fax

(727) 894-2386

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Rafael Alberto Beltran Durango, MD

Title

Owner

Phone

(727) 894-2341

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maritza Kandzer, MSN, PMHNP, AGPCNP

  • Psychiatric/Mental Health Nurse Practitioner
  • St Petersburg, FL
  • NPI 1801653621
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1851483838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4777 ROYAL PALM CIR NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337033139",
            "telephone_number": "727-894-2341",
            "fax_number": "727-894-2386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3637 4TH ST N",
            "address_2": "SUITE 480",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337041355",
            "telephone_number": "727-894-2341",
            "fax_number": "727-894-2386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFAEL BELTRAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "BELTRAN DURANGO",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-894-2341",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME72310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Radiology Physician Solutions of Florida, LLC
• Radiology Physician Solutions of West Florida, LLC
• Jessica Rose Radke, LMHC
• Kelsey Radmanesh
• Irma Radosavljevic, LMT;CNMT
• Balaji Raghu-Obleshwar, MD
• Matthew J Rahaim, MD
• Milagros Raheb
• Patrick Rahill, LMFT
• Olivia Pardi Rahman, APRN

• Psychiatry Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; 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.