| Beltran Medical Group, Llc | |
|
14223 Sw 42 St Miami Dade FL 33175-6408 | |
| (305) 551-2165 | |
| (305) 551-2167 |
| Full Name | Beltran Medical Group, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 14223 Sw 42 St, Miami Dade, Florida |
| Authorized Official Name and Position | Idalmis Santana-porben (PRESIDENT) |
| Authorized Official Contact | 3055512165 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beltran Medical Group, Llc 14223 Sw 42 St Miami Dade FL 33175-6408 Ph: (305) 551-2165 | Beltran Medical Group, Llc 14223 Sw 42 St Miami Dade FL 33175-6408 Ph: (305) 551-2165 |
| NPI Number | 1174845952 |
|---|---|
| Provider Enumeration Date | 02/22/2010 |
| Last Update Date | 02/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174845952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME88244 (Florida) | Primary |
| 208000000X | Pediatrics | ME91105 (Florida) | Secondary |
| 208D00000X | General Practice | ME91105 (Florida) | Secondary |