Active NPI
Carmen Milagros Betancourt Rodriguez, LND
- Registered Dietitian
- San Juan, PR
National Provider Identifier
1003651647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1043
- Practice address
- 1 Calle Sol
Urb. Adoquines
San Juan, PR 00926 - Phone
- (787) 373-3984
- NPI assigned
- Jun 26, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1043 | PR | Primary |
Addresses
Primary practice location
1 Calle Sol
Urb. Adoquines
San Juan, PR 00926
Mailing address
1 Calle Sol
Urb. Adoquines
San Juan, PR 00926
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1043 | PR | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719360000000",
"number": "1003651647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CALLE SOL",
"address_2": "URB. ADOQUINES",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CALLE SOL",
"address_2": "URB. ADOQUINES",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-373-3984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETANCOURT RODRIGUEZ",
"first_name": "CARMEN",
"middle_name": "MILAGROS",
"credential": "LND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-26",
"last_updated": "2024-06-26",
"certification_date": "2024-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PR",
"license": "1043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
- Roberto Betances-Carreras, M.D.
- Rolando R. Betancourt de Leon
- Jeanlouis Betancourt Gaztambide, PHARMD
- Jose Joaquin Betancourt Lopez Sr., M.D.
- Maria Cristina Betancourt Quiles, M.D.
- Stephanie A Betancourt Rosa, OTR/L
- Isabel Cristina Betancourt-Gomez, M.D.
- Dilka Betancourt, M.A.
- Emilio Betancourt Sr., MD
- Fabiola Michelle Betancourt
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.