MEDICARE: SANDRA L. CORTES-BETANCOURT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	20553	PR

General Provider Information

NPI Number	:	1790097319
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDRA L. CORTES-BETANCOURT M.D.

Provider Business Mailing Address
First Line	:	50 CALLE 2
Second Line	:	PASEO ALTO
City	:	SAN JUAN
State	:	PR
Zip	:	00926
Country	:	US
Telephone Number	:	787-605-2500
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 GRAND PASEO BLVD STE 120
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00926-5905
Country	:	US
Telephone Number	:	787-963-0003
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2010
Last Update Date	:	02/05/2025

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