Individual
DR. MARIA LOURDES BETANCOURT-PINEIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
URB LANDRAU, 1411 CARR 21, RIO PIEDRAS, PR 00921-3408
(787) 793-3095
(787) 782-9368
Mailing address
PO BOX 270334, SAN JUAN, PR 00927-0334
(787) 793-3095
(787) 782-9368
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
6418
PR
207NP0225X
Pediatric Dermatology Physician
6418
PR
207NS0135X
Procedural Dermatology Physician
6418
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068131
CA
—
01
—
8000503
HUMANA PR
—
01
—
97846BE
SSS
—
01
—
PE0563
PALIC
—
Enumeration date
11/14/2005
Last updated
06/05/2014
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