MEDICARE: JUAN A. BELTRAN, M.D., P.A.

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
1	247200000X	Other Technician	D0016263	MD
2	282N00000X	General Acute Care Hospital	D0016263	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154621753
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JUAN A. BELTRAN, M.D., P.A.

Provider Business Mailing Address
First Line	:	9014 ELMONTE WOODS WAY
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042-1854
Country	:	US
Telephone Number	:	410-750-0325
Fax Number	:

Provider Business Practice Location Address
First Line	:	9014 ELMONTE WOODS WAY
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042-1854
Country	:	US
Telephone Number	:	410-750-0325
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DOCTOR
Name	:	JUAN A BELTRAN
Credential	:	MD
Telephone Number	:	410-750-0352

Provider Enumeration Date	:	10/28/2010
Last Update Date	:	11/18/2010

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