Provider Demographics
NPI:1598599722
Name:RAUL J BELTRAN
Entity type:Organization
Organization Name:RAUL J BELTRAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DNP,FNP-C
Authorized Official - Prefix:DR
Authorized Official - First Name:RAUL
Authorized Official - Middle Name:J
Authorized Official - Last Name:BELTRAN
Authorized Official - Suffix:
Authorized Official - Credentials:DNP,FNP-C
Authorized Official - Phone:407-973-4537
Mailing Address - Street 1:10967 LAKE UNDERHILL RD STE 107
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825-4434
Mailing Address - Country:US
Mailing Address - Phone:407-973-4537
Mailing Address - Fax:407-264-8367
Practice Address - Street 1:10967 LAKE UNDERHILL RD STE 107
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-4434
Practice Address - Country:US
Practice Address - Phone:321-306-6014
Practice Address - Fax:321-732-4932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-29
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty