Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Gustavo Rafael Betancourt, MD

Individual provider Surgical Physician Assistant · NPI 1407477649

Dr. Gustavo Rafael Betancourt, MD is a Surgical Physician Assistant in Kissimmee, Florida. Practices as a sole proprietor. Licensed in Florida and New Jersey.

Licensed in
FL, NJ
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

4319 Creeks Run Blvd
Kissimmee, FL 34746-2314
Phone: (407) 961-9822
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 21-496 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence NJDCATEMP015064 (NJ)

Record details

NPI number1407477649
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 28, 2020
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026

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