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Individual

ISABEL CRISTINA BETANCOURT-GOMEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
EL MONTE MALL SHOPPING CENTER SUITE 3225, 652 AVE MUNOZ-RIVERA, SAN JUAN, PR 00918
(787) 751-6210
Mailing address
PMB 493, PO BOX 70344, SAN JUAN, PR 00936-8344
(787) 751-6210

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12310
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20051
SSS
PR
Enumeration date
06/09/2005
Last updated
07/08/2007
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