Active NPI
Jose E Betancourt MD PA
- Medical Specialty Clinic/Center
- Miami Lakes, FL
National Provider Identifier
1891995098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.