Provider Demographics
NPI:1811653181
Name:BELTRE, LUIS A JR (PARAMEDIC)
Entity type:Individual
Prefix:
First Name:LUIS
Middle Name:A
Last Name:BELTRE
Suffix:JR
Gender:M
Credentials:PARAMEDIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8401 MONTPELIER DR
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-2305
Mailing Address - Country:US
Mailing Address - Phone:240-602-7221
Mailing Address - Fax:
Practice Address - Street 1:8401 MONTPELIER DR
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20708-2305
Practice Address - Country:US
Practice Address - Phone:240-602-7221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-11
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD0201724146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic