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NPI Code Detail

MEDICARE: DR. ALBERTO BETANCOURT MD

MEDICARE:  DR. ALBERTO  BETANCOURT  MD
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
1208000000XPediatrics Physician4301056775MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043284631
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALBERTO BETANCOURT MD
Provider Business Mailing Address
First Line : PO BOX 730
Second Line : 406 EAST ELM ST
City : CARSON CITY
State : MI
Zip : 48811
Country : US
Telephone Number : 989-584-3131
Fax Number : 989-584-6734
Provider Business Practice Location Address
First Line : 245 SOUTH SECOND ST
Second Line : SUITE 200
City : CARSON CITY
State : MI
Zip : 48811
Country : US
Telephone Number : 989-584-3981
Fax Number : 989-584-0231
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2006
Last Update Date : 12/03/2009

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Directions to “ DR. ALBERTO BETANCOURT MD” Practice Location

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