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Individual

DR. MARIA LOURDES BETANCOURT-PINEIRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

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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