Individual
JORGE BETANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1850 SW 8 ST, SUITE 304, MIA, FL 33135
(305) 649-1395
(305) 649-4241
Mailing address
PO BOX 451806, MIAMI, FL 33245-1806
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0041415
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067466401
—
FL
Enumeration date
09/06/2006
Last updated
07/08/2007
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