Organization
LESBIA BETANCOURT
Active
Other names
Sole Propiertor
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LESBIA BETANCOURT MSW (CLINICAL SOCIAL WORK/CLINICIAN)
(787) 963-0171
Entity
Organization
Contact information
Practice address
911 CALLE LABRADOR, COUNTRY CLUB, SAN JUAN, PR 00924-1764
(787) 963-0171
Mailing address
911 CALLE LABRADOR, COUNTRY CLUB, SAN JUAN, PR 00924-1764
(787) 963-0171
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
3906
PR
302F00000X
Exclusive Provider Organization
3906
PR
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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