Individual
DR. NICOLAS BETANCOURT-GOMEZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
174 CALLE LUIS BARRERAS S, CAYEY, PR 00736-4615
(787) 535-0380
(787) 535-0363
Mailing address
HC 71 BOX 7217, CAYEY, PR 00736-9124
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5995
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5995
LICENCE
PR
Enumeration date
05/25/2006
Last updated
07/08/2007
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