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NPI Code Detail

MEDICARE: FRANCISCO ANTONIO BETANCOURT DNP, CRNA

MEDICARE: FRANCISCO ANTONIO BETANCOURT DNP, CRNA
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
1163W00000XRegistered Nurse9363772FL
2367500000XCertified Registered Nurse Anesthetist11017744FL

Other Identifiers

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

General Provider Information

NPI Number : 1801353909
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANCISCO ANTONIO BETANCOURT DNP, CRNA
Provider Business Mailing Address
First Line : 1510 SW 104TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33174-2770
Country : US
Telephone Number : 305-832-9716
Fax Number :
Provider Business Practice Location Address
First Line : 5030 BRUNSON DR
Second Line :
City : CORAL GABLES
State : FL
Zip : 33146-2412
Country : US
Telephone Number : 305-284-3666
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2019
Last Update Date : 03/01/2022

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