Provider Demographics
NPI:1902846363
Name:ASCLEPIUS MEDICAL INC.
Entity Type:Organization
Organization Name:ASCLEPIUS MEDICAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BETANCOURT
Authorized Official - Suffix:
Authorized Official - Credentials:CHIROPRACTOR PHYSICI
Authorized Official - Phone:305-441-8781
Mailing Address - Street 1:5455 SW 8TH ST
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-2271
Mailing Address - Country:US
Mailing Address - Phone:305-441-8781
Mailing Address - Fax:305-441-8782
Practice Address - Street 1:5455 SW 8TH ST
Practice Address - Street 2:SUITE 210
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-2284
Practice Address - Country:US
Practice Address - Phone:305-441-8781
Practice Address - Fax:305-441-8782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL440084-2261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL45279Medicare ID - Type Unspecified