NPI Code Detail JSON Logo

1023624921 NPI number — KELYI ORTIZ BETANCOURT I FNP

NPI Number: 1023624921
Health Care Provider/Practitioner: KELYI ORTIZ BETANCOURT I FNP

Information about “1023624921” NPI (KELYI ORTIZ BETANCOURT I FNP) exists in 1023624921 in HTML format HTML  |  1023624921 in plain Text format TXT  |  1023624921 in PDF (Portable Document Format) PDF  |  1023624921 in an XML format XML  formats.

NPI Number : 1023624921 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1023624921",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ORTIZ BETANCOURT",
    "FirstName": "KELYI",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": "I",
    "Credential": "FNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5993 W 21ST CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HIALEAH",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33016-2634",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "305-733-7678",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "702 SW 57TH AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MIAMI",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33144-3922",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "305-265-3239",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/17/2020",
    "LastUpdateDate": "04/01/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "163WH1000X",
          "TaxonomyName": "Hospice Registered Nurse",
          "LicenseNumber": "RN9476937",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "APRN11008447",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2025 Data Labs Health. All rights reserved.