Individual
NICOLAS R BETANCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
TORRE DE AUXILIO MUTUO 735 PONCE DE LEON, SUITE 207, SAN JUAN, PR 00917-5024
(787) 767-0555
(787) 767-0655
Mailing address
TORRE DE AUXILIO MUTUO 735 PONCE DE LEON, SUITE 207, SAN JUAN, PR 00917-5024
(787) 767-0655
(787) 767-0655
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7226
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0400034
HUMANA
PR
01
—
066410
CRUZ AZUL
PR
01
—
29460
TRIPLE S
PR
01
—
8537
IMC
PR
Enumeration date
03/16/2007
Last updated
07/08/2007
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