Individual provider Active NPI

Raul Junior Beltran, DNP,FNP-C

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1861003949
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11008519 Issued in FL
Practice address
10967 Lake Underhill Rd Ste 107
Orlando, FL 32825-4434
Phone
(407) 973-4537
NPI assigned
Aug 12, 2020
Last updated
Jan 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11008519 FL Primary

Addresses

Primary practice location

10967 Lake Underhill Rd Ste 107
Orlando, FL 32825-4434

Mailing address

10967 Lake Underhill Rd Ste 107
Orlando, FL 32825-4434
Phone (321) 306-6014

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201020002616 FL Practitioner - Nurse Practitioner 4981024551 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michelle Riopedre LLCGroup PAC ID 0446783153, 2 clinicians

Practice addresses (Care Compare)

10967 Lake Underhill Rd
Suite 107
Orlando, FL 32825-4434
Phone (321) 306-6014

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11008519FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Onspot-FL CurrentSince Jan 15, 2025 Accepting new patients
Michelle Riopedre LLC Family CurrentSince Nov 14, 2024 Accepting new patients
Raul J Beltran Family CurrentSince Dec 31, 2024 Accepting new patients
Riobel Medspa and Wellness Family Current Accepting new patients
MVP Medical Practice PC PastSince Jan 15, 2025 Accepting new patients

Locations

13770 Plantation Rd
#103
Fort Myers, FL 33912

16461 Domestic Ave
Fort Myers, FL 33912
Phone (772) 667-7688

10967 Lake Underhill Rd
Ste 107
Orlando, FL 32825
Phone (321) 306-6014

1131 S Orange Ave
Orlando, FL 32806
Phone (407) 237-6333

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1861003949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10967 LAKE UNDERHILL RD STE 107",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254434",
            "telephone_number": "321-306-6014",
            "fax_number": "321-732-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10967 LAKE UNDERHILL RD STE 107",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254434",
            "telephone_number": "407-973-4537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELTRAN",
        "first_name": "RAUL",
        "middle_name": "JUNIOR",
        "credential": "DNP,FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-12",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11008519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.