DR. GUSTAVO RAFAEL BETANCOURT (NPI# 1407477649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407477649 |
| Entity Type | Individual |
| Full Name | DR. GUSTAVO RAFAEL BETANCOURT |
| Credential | MD |
| Practice Address |
4319 Creeks Run Blvd Kissimmee FL 34746-2314 |
| Practice Telephone | 4079619822 |
| Mailing Telephone | 4079619822 |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2020-04-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | NJDCATEMP015064 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | MD | NJDCATEMP015064 | 01 |
| Street Address |
4319 CREEKS RUN BLVD |
| City | KISSIMMEE |
| State | FL |
| Zip Code | 34746-2314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124649561 | Scarlet Benilde Gonzalez | Family Medicine | 4319 Creeks Run Blvd, Kissimmee, FL 34746-2314 | 2020-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548730195 | Suma Joseph Kurian | Nurse Practitioner | Florida Lung Asthma Lung Specialists, 3480 Polynesian Isle Blvd, Kissimmee, FL 34746 | 2018-11-27 |
| 1538663240 | Terri Alexander Charlock | Specialist/Technologist | 5314 Barefoot Path, Kissimmee, FL 34746 | 2018-03-19 |
| 1811404452 | Debbie Camille Carvalho | Psychologist | 4449 Great Habor Lane, Kissimmee, FL 34746 | 2018-01-04 |
| 1679096390 | Sheyla Marie Vargas | Behavior Technician | 4118 Shelter Bay Dr, Kissimmee, FL 34746 | 2017-07-25 |
| 1013464601 | Falguni Patel | Pharmacist | 3298 S John Young Parkway, Kissimmee, FL 34746 | 2016-09-01 |
| 1942656004 | Kheira Liz Rodriguez | Case Manager/Care Coordinator | 198 London Dr, Kissimme, FL 34746 | 2016-05-09 |
| 1821456005 | Irma Valentin | Counselor | 4166 Key Colony Pl, Kissimmee, FL 34746 | 2016-02-03 |
| 1780050310 | Catherine M Alfieri | Physician Assistant | 119 Sunny Oak Trl, Kissimmee, FL 34746 | 2015-08-18 |
| 1396043956 | Mary Staffa | Speech-Language Pathologist | 2222 Granger Ave, Kissimmee, FL 34746 | 2011-03-07 |
| 1457661787 | Melita Cogburn | Counselor | 111 Monument Ave, Suite 509, Kissimmee, FL 34746 | 2010-10-20 |
| Find all providers in zip 34746 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043835473 | Adventist Health System Sunbelt, Inc | Family Medicine | 2488 E Irlo Bronson Memorial Hwy Ste 204, Kissimmee, FL 34744-4908 | 2020-06-11 |
| 1386268993 | Florida Advanced Medicine LLC | Family Medicine | 2522 Oak Run Blvd, Kissimmee, FL 34744-3017 | 2020-05-31 |
| 1053932202 | Willka Vanessa Parra | Family Medicine | 1997 Willow Wood Dr # De, Kissimmee, FL 34746-3780 | 2020-04-29 |
| 1053932350 | Mariana Carolina Diaz | Family Medicine | 3141 Pine Branch Dr Apt 103, Kissimmee, FL 34741-3501 | 2020-04-28 |
| 1124649561 | Scarlet Benilde Gonzalez | Family Medicine | 4319 Creeks Run Blvd, Kissimmee, FL 34746-2314 | 2020-04-27 |
| 1952872061 | Olga Lorena Seoanes | Family Medicine | 2068 E Osceola Pkwy, Kissimmee, FL 34743-8602 | 2018-12-16 |
| 1457822066 | Surujdai Pooransingh | Family Medicine | 354 Aylesbury Ct, Kissimmee, FL 34758-4298 | 2018-12-07 |
| 1174011571 | Summit Health Family Practice LLC | Family Medicine | 507 Berry James Ct, Kissimmee, FL 34744-8514 | 2018-05-01 |
| 1932613882 | Mi Doctor LLC | Family Medicine | 4611 Cumbrian Lakes Dr, Kissimmee, FL 34746-6717 | 2017-11-29 |
| 1013360395 | Derly Jean-noel | Family Medicine | 3380 Wilderness Trl, Kissimmee, FL 34746-2926 | 2016-07-21 |
| Find all providers in KISSIMMEE | ||||
Please comment or provide details below to improve the information on DR. GUSTAVO RAFAEL BETANCOURT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.