Physician Compare National (NPI:1811940596)

HEALTHCARE PROVIDER: ANTONIO J BELTRAN MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1811940596
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1557319852
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050105000029
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BELTRAN
	Individual professional last name
Provider First Name	ANTONIO
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1992
	Individual professional's medical school graduation year
Primary Specialty	UROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	TENET FLORIDA PHYSICIAN SERVICES LLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	0345349478
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	166
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	901 45TH ST
	Group Practice or individual's line 1 address
City	MANGONIA PARK
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	334072413
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100044
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MARTIN MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	100287
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	GOOD SAMARITAN MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	100288
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ST MARY'S MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y