Individual
DR. DOMINGO BETANCES SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2 CARR 891, BO. PUEBLO, COROZAL, PR 00783-1977
(787) 859-0403
(787) 802-1222
Mailing address
PO BOX 1838, COROZAL, PR 00783-7003
(787) 859-0403
(787) 802-1222
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
8192
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8192
MEDICAL LICENCE
PR
Enumeration date
07/20/2005
Last updated
02/20/2013
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