MEDICARE: JAN L BETANCOURT

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	101YM0800X	Mental Health Counselor	8349	PR

General Provider Information

NPI Number	:	1891642963
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAN L BETANCOURT

Provider Business Mailing Address
First Line	:	PO BOX 1183
Second Line	:
City	:	CANOVANAS
State	:	PR
Zip	:	00729-1183
Country	:	US
Telephone Number	:	787-242-7214
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 1183
Second Line	:
City	:	CANOVANAS
State	:	PR
Zip	:	00729-1183
Country	:	US
Telephone Number	:	787-242-7214
Fax Number	:

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

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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Directions to “ JAN L BETANCOURT ” Practice Location

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