Provider Demographics
NPI:1316565104
Name:BELTRAN MONTALVO, FELIPE (APRN, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:FELIPE
Middle Name:
Last Name:BELTRAN MONTALVO
Suffix:
Gender:M
Credentials:APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2768 W 60TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-4725
Mailing Address - Country:US
Mailing Address - Phone:786-612-5350
Mailing Address - Fax:
Practice Address - Street 1:11430 N KENDALL DR STE 106
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1024
Practice Address - Country:US
Practice Address - Phone:305-279-5535
Practice Address - Fax:305-279-2742
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-08
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11007437363LF0000X
FLAPRN11007437363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily