Individual
MR. ELIAS BETANCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17 CALLE SANTIAGO IGLESIAS, PATILLAS, PR 00723-2603
(787) 374-0106
Mailing address
17 SANTIAGO IGLESIAS, PATILLAS, PR 00723
(787) 374-0106
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
595
PR
Other
Enumeration date
10/18/2010
Last updated
01/12/2011
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