MEDICARE: DR. ZOLANYE RAFELINA SANTANA BETANCES MD

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	208D00000X	General Practice Physician	24197	PR
2	208D00000X	General Practice Physician	1697	FL

General Provider Information

NPI Number	:	1457162398
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZOLANYE RAFELINA SANTANA BETANCES MD

Provider Business Mailing Address
First Line	:	6675 WESTWOOD BLVD STE 475
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32821-6027
Country	:	US
Telephone Number	:	407-845-0330
Fax Number	:

Provider Business Practice Location Address
First Line	:	130 RIDGE CENTER DR STE 104
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33837-6414
Country	:	US
Telephone Number	:	407-845-0330
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2025
Last Update Date	:	09/30/2025

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