# JOSE ERNESTO BETANCOURT DIAZ MD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cardiology Electrophysiology Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447840947
- **Authorized official:** JOSE ERNESTO BETANCOURT MD (PRESIDENT)
- **Authorized official phone:** (786) 363-8587

## Contact information

- **Practice address:** 601 N FLAMINGO RD STE 306, PEMBROKE PINES, FL 33028-1010
- **Practice address phone:** (786) 363-8587
- **Practice address fax:** (786) 363-8587
- **Mailing address:** 601 N FLAMINGO RD STE 306, PEMBROKE PINES, FL 33028-1010
- **Mailing address phone:** (786) 363-8587
- **Mailing address fax:** (786) 363-8587

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | NULL | Yes |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/19/2021
- **Last updated:** 05/01/2022