Individual
ALEXANDRA ROSADO BETANCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
G11 CALLE JERRY RIVAS DIAZ, URB STA MONICA, BAYAMON, PR 00957
(787) 690-8514
Mailing address
9910 FRANKLIN SQUARE DR, STE 2110, BALTIMORE, MD 21236-4902
(787) 690-8514
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
21266
PR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21266
LICENSE
PR
Enumeration date
03/12/2019
Last updated
08/12/2020
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