Provider Demographics
NPI:1740270545
Name:BELTRE, MIGUEL F (MD)
Entity type:Individual
Prefix:DR
First Name:MIGUEL
Middle Name:F
Last Name:BELTRE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4958 SUN N LAKE BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33872-2167
Mailing Address - Country:US
Mailing Address - Phone:863-385-8004
Mailing Address - Fax:863-385-2330
Practice Address - Street 1:4958 SUN N LAKE BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33872-2167
Practice Address - Country:US
Practice Address - Phone:863-385-8004
Practice Address - Fax:863-385-2330
Is Sole Proprietor?:No
Enumeration Date:2005-10-24
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0061025207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL373963500Medicaid
FL23688ZMedicare ID - Type Unspecified
FL373963500Medicaid