Individual
JAVIER L BELTRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 NASSAU STREET, APT 18A, NEW YORK, NY 10038-1547
(216) 255-5700
(216) 255-5701
Mailing address
23625 COMMERCE PARK, SUITE 204, BEACHWOOD, OH 44122-5845
(216) 255-5700
(216) 255-5701
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
185787
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01272935
—
NY
05
—
0543255
—
OH
05
—
10025230100
—
NE
05
—
12749901
—
AZ
01
—
341958451012
MEDICAL MUTUAL
OH
01
—
34195845111518
TRICARE WEST
—
01
—
735S11
BCBS
NY
05
—
7713860
—
SD
05
—
806974600
—
ID
01
—
P00163855
RXR MEDICARE
NY
Enumeration date
07/22/2005
Last updated
02/12/2015
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