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NPI Code Detail

MEDICARE: JORGE ARMANDO BETANCOURT

MEDICARE:   JORGE ARMANDO BETANCOURT
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
1106S00000XBehavior Technician20-118422FL

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 : 1982289732
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORGE ARMANDO BETANCOURT
Provider Business Mailing Address
First Line : 14919 SW 80TH ST APT 203
Second Line :
City : MIAMI
State : FL
Zip : 33193-3151
Country : US
Telephone Number : 305-877-6383
Fax Number :
Provider Business Practice Location Address
First Line : 14919 SW 80TH ST APT 203
Second Line :
City : MIAMI
State : FL
Zip : 33193-3151
Country : US
Telephone Number : 305-877-6383
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2021
Last Update Date : 03/31/2023

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Directions to “ JORGE ARMANDO BETANCOURT ” Practice Location

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