Individual
DR. JORGE BETANCOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7460 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1760
(901) 763-0200
(901) 761-4002
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD61267593
WA
207RI0011X
Interventional Cardiology Physician
131700
MT
207RI0011X
Interventional Cardiology Physician
36232
MS
207RI0011X
Interventional Cardiology Physician
Primary
76061
TN
207RI0011X
Interventional Cardiology Physician
MD-24191
HI
207RI0011X
Interventional Cardiology Physician
MD61267593
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2213846
—
WA
Enumeration date
03/26/2010
Last updated
01/07/2026
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