Individual
KEYDI NICOLE BETANCOURT GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CARR. 941 SALIDA BO. JAGUAS CALLE SAN ANTONIO FINAL, GURABO, PR 00778
(787) 737-2311
Mailing address
PO BOX 1277, GURABO, PR 00778-1277
(787) 737-2311
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
21435
PR
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
21435
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/15/2016
Last updated
11/17/2021
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