Healthcare Provider Details

I. General information

NPI: 1396958153
Provider Name (Legal Business Name): ARTURO BETANCOURT, M.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2007
Last Update Date: 02/16/2026
Certification Date: 02/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HOSPITAL DR SUITE 600
GLEN BURNIE MD
21061-5884
US

IV. Provider business mailing address

200 HOSPITAL DR STE 600
GLEN BURNIE MD
21061-5865
US

V. Phone/Fax

Practice location:
  • Phone: 410-766-3937
  • Fax: 410-761-4386
Mailing address:
  • Phone: 410-766-3937
  • Fax: 410-761-4386

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberD0036550
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: SHRUTI AGGARWAL
Title or Position: OWNER, MD
Credential: MD
Phone: 410-766-3937