Individual
SANTIAGO BETANCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA, MSNA
Contact information
Practice address
3551 N BROAD ST, PHILADELPHIA, PA 19140-4105
(215) 430-4000
Mailing address
3551 N BROAD ST, PHILADELPHIA, PA 19140-4105
(215) 430-4000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN357096L
PA
Other
Enumeration date
08/20/2009
Last updated
08/21/2009
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