Provider Demographics
NPI:1972308328
Name:BELTRAN FRAUSTO, MARIA
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:BELTRAN FRAUSTO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4871 SNIPE RD
Mailing Address - Street 2:
Mailing Address - City:PACE
Mailing Address - State:FL
Mailing Address - Zip Code:32571-8845
Mailing Address - Country:US
Mailing Address - Phone:972-365-5416
Mailing Address - Fax:
Practice Address - Street 1:4871 SNIPE RD
Practice Address - Street 2:
Practice Address - City:PACE
Practice Address - State:FL
Practice Address - Zip Code:32571-8845
Practice Address - Country:US
Practice Address - Phone:972-365-5416
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider