Organization Active NPI

Jose E Betancourt MD PA

  • Medical Specialty Clinic/Center
  • Miami Lakes, FL
National Provider Identifier
1891995098
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
JOSE E BETANCOURT MD PA
Practice address
13903 NW 67TH Ave Ste 250
Miami Lakes, FL 33014-2938
Phone
(786) 363-8587
Fax
(786) 363-8587
NPI assigned
Jul 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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

Authorized official

Name
Jose Ernesto Betancourt, M.D.
Title
Owner
Phone
(305) 546-9565

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X ME92730 FL
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

13903 NW 67TH Ave Ste 250
Miami Lakes, FL 33014-2938

Mailing address

18063 NW 87TH PL
Miami, FL 33018-6720
Phone (305) 546-9565

Other practice location 1

3000 SW 148th Ave
Suite 250
Miramar, FL 33027-4169
Phone (954) 885-5551

Other names 1

  • Cardiac Arrhythmia Institute Doing business as

National Provider Directory

National Provider Directory

Locations

590 E 25th St
Ste 306
Hialeah, FL 33013
Phone (786) 363-8587

1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416

13903 NW 67th Ave
Ste 250
Miami Lakes, FL 33014
Phone (305) 819-0507

3000 SW 148th Ave
Miramar, FL 33027
Phone (954) 450-4533

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549411200000",
    "number": "1891995098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18063 NW 87TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "330186720",
            "telephone_number": "305-546-9565",
            "fax_number": "786-363-8587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13903 NW 67TH AVE STE 250",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142938",
            "telephone_number": "786-363-8587",
            "fax_number": "786-363-8587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 SW 148th Ave",
            "address_2": "Suite 250",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330274169",
            "country_code": "US",
            "telephone_number": "954-885-5551",
            "fax_number": "954-885-5559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOSE E BETANCOURT MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2019-02-06",
        "status": "A",
        "authorized_official_last_name": "BETANCOURT",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ERNESTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-546-9565",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME92730",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardiac Arrhythmia Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 6, 2019; 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.