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NPI Code Detail

MEDICARE: DR. JUSTINO BETANCOURT M.D.

MEDICARE: DR. JUSTINO 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
1207R00000XInternal Medicine Physician6805PR

General Provider Information

NPI Number : 1295735363
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUSTINO BETANCOURT M.D.
Provider Business Mailing Address
First Line : PO BOX 1665
Second Line :
City : BAYAMON
State : PR
Zip : 00960-1665
Country : US
Telephone Number : 787-798-9240
Fax Number : 787-288-0206
Provider Business Practice Location Address
First Line : INSTITUTO SAN PABLO
Second Line : SUITE 403
City : BAYAMON
State : PR
Zip : 00961-7041
Country : US
Telephone Number : 787-798-9240
Fax Number : 787-288-0206
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2005
Last Update Date : 08/08/2011

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Directions to “ DR. JUSTINO BETANCOURT M.D.” Practice Location

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