Paola Beltran

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA96142 Issued in FL

Practice address

4801 S University Dr Ste 101
Davie, FL 33328-3835

Phone

(786) 259-0300

Fax

(866) 665-8671

NPI assigned

Jun 8, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Bolanos Associates, LLC.

  • Multi-Specialty Clinic/Center
  • Miami, FL
  • NPI 1427288851
  NPD

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1912691213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15751 SHERIDAN ST # 303",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333313486",
            "telephone_number": "786-259-0300",
            "fax_number": "866-665-8671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 S UNIVERSITY DR STE 101",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333283835",
            "telephone_number": "786-259-0300",
            "fax_number": "866-665-8671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELTRAN",
        "first_name": "PAOLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA96142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPIST LICENSE",
            "identifier": "MA96142",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ernesto J. Bello, PHARMACY INTERN
• Gabriela Lucia Bello
• Jose Luis Bellon
• Bellux Medical and Aesthetics Group, LLC
• Gabriel Beltran
• Sandra Benavides, PHARMD
• Nicole Bencomo
• Idamaris Bencosme Santiesteban
• Dipsya Bengoachea
• Melanie Rose Benitez

• Massage Therapist in Davie, FL
• Providers in Davie, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.