Healthcare Provider Details

I. General information

NPI: 1568253177
Provider Name (Legal Business Name): ALDO BELTRAN HUMARA RPH, CPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2025
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8600 NW 41ST ST
DORAL FL
33166-6202
US

IV. Provider business mailing address

8600 NW 41ST ST
DORAL FL
33166-6202
US

V. Phone/Fax

Practice location:
  • Phone: 305-642-1511
  • Fax: 305-631-5920
Mailing address:
  • Phone: 305-642-1511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS47540
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: