Provider Demographics
NPI:1649267295
Name:BELTRAN, ARMANDO (MD)
Entity type:Individual
Prefix:
First Name:ARMANDO
Middle Name:
Last Name:BELTRAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1396 DIAMOND GATE PL
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-7845
Mailing Address - Country:US
Mailing Address - Phone:915-856-9700
Mailing Address - Fax:
Practice Address - Street 1:2022 MURCHISON DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-3058
Practice Address - Country:US
Practice Address - Phone:915-533-5388
Practice Address - Fax:915-533-0868
Is Sole Proprietor?:No
Enumeration Date:2005-09-29
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH2988174400000X, 207R00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No174400000XOther Service ProvidersSpecialist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX137872110Medicaid
TXC13350Medicare UPIN