Individual
MATEO JOSE BETANCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6830 HOSPITAL DR STE 206, ROSEDALE, MD 21237-4377
(410) 238-5390
Mailing address
8910 OLD MONTGOMERY RD, COLUMBIA, MD 21045-4239
(210) 478-8360
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
H0101595
MD
208D00000X
General Practice Physician
0102205620
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2017
Last updated
07/15/2025
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