Provider Demographics
NPI:1639126121
Name:BELTRE, FRANKLIN (DPM)
Entity Type:Individual
Prefix:DR
First Name:FRANKLIN
Middle Name:
Last Name:BELTRE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 WEST FARM MARKET 495
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:TX
Mailing Address - Zip Code:78589
Mailing Address - Country:US
Mailing Address - Phone:956-782-6200
Mailing Address - Fax:956-782-6202
Practice Address - Street 1:409 W FM 495
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:TX
Practice Address - Zip Code:78589-3717
Practice Address - Country:US
Practice Address - Phone:956-782-6200
Practice Address - Fax:956-782-6202
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-28
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP1460213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX480031431OtherMEDICARE RAILROAD
TX092743601Medicaid
TX092743602Medicaid
TX00834EMedicare PIN
TX480031431OtherMEDICARE RAILROAD
TX00607EMedicare PIN