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NPI Code Detail

MEDICARE: LUIS BELTRAN FERNANDEZ M.D

MEDICARE:   LUIS BELTRAN FERNANDEZ  M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician213954NY

General Provider Information

NPI Number : 1881797686
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUIS BELTRAN FERNANDEZ M.D
Provider Business Mailing Address
First Line : 414 VANDERBILT AVE # PH
Second Line :
City : BROOKLYN
State : NY
Zip : 11238-1505
Country : US
Telephone Number : 718-399-3498
Fax Number : 718-963-5800
Provider Business Practice Location Address
First Line : 414 VANDERBILT AVE PH
Second Line :
City : BROOKLYN
State : NY
Zip : 11238-1505
Country : US
Telephone Number : 718-399-3498
Fax Number : 718-963-5800
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2006
Last Update Date : 05/27/2025

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