MEDICARE: DR. FRANZ EDWARD STIEHL 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	208000000X	Pediatrics Physician	12405	PR

General Provider Information

NPI Number	:	1659422095
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANZ EDWARD STIEHL BETANCOURT M.D.

Provider Business Mailing Address
First Line	:	1708 CALLE SAN JULIAN
Second Line	:	SAGRADO CORAZON
City	:	SAN JUAN
State	:	PR
Zip	:	00926-4269
Country	:	US
Telephone Number	:	787-646-9480
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 CALLE JUAN P DUARTE
Second Line	:
City	:	HATO REY
State	:	PR
Zip	:	00917-3602
Country	:	US
Telephone Number	:	787-759-6909
Fax Number	:	787-282-0884

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

Provider Enumeration Date	:	01/14/2007
Last Update Date	:	07/08/2007

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