Individual
JEAN EMIL BETANCOURT VIETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1150 NW 14TH ST STE 309, MIAMI, FL 33136-2114
(305) 243-4562
(305) 243-3381
Mailing address
445 NW 4TH ST APT 1001, MIAMI, FL 33128-1704
(786) 419-2166
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9332807
FL
363LF0000X
Family Nurse Practitioner
9332807
FL
363LF0000X
Family Nurse Practitioner
RN9332807
FL
Other
Enumeration date
07/09/2018
Last updated
12/11/2018
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