Provider Demographics
NPI:1265692750
Name:BELTRAN, CELINA RENEE (MD)
Entity type:Individual
Prefix:DR
First Name:CELINA
Middle Name:RENEE
Last Name:BELTRAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:8061 ALAMEDA AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79915-4705
Mailing Address - Country:US
Mailing Address - Phone:915-859-7545
Mailing Address - Fax:915-859-9862
Practice Address - Street 1:8061 ALAMEDA AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79915-4705
Practice Address - Country:US
Practice Address - Phone:915-859-7545
Practice Address - Fax:915-225-3491
Is Sole Proprietor?:No
Enumeration Date:2008-06-10
Last Update Date:2015-04-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXN9510207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX130880104Medicaid
TX1831267079OtherGROUP NPI
TX74-2505561OtherGROUP EIN
TX1831267079OtherGROUP NPI
TX74-2505561OtherGROUP EIN