Provider Demographics
NPI:1538498803
Name:JORGE R BEATO MD PA
Entity Type:Organization
Organization Name:JORGE R BEATO MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:R
Authorized Official - Last Name:BEATO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-448-9370
Mailing Address - Street 1:PO BOX 347290
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33234-7290
Mailing Address - Country:US
Mailing Address - Phone:305-858-3226
Mailing Address - Fax:305-859-8330
Practice Address - Street 1:5524 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-2220
Practice Address - Country:US
Practice Address - Phone:305-448-3937
Practice Address - Fax:305-448-9379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-16
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty