Elias Betancourt
Individual provider Active NPI Other Technician · Patillas, PR
NPI 1013227529 · NPPES record last updated Jan 12, 2011
Key facts
- NPI
- 1013227529
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Technician 247200000X
- License
- 595 (PR)
- Practice address
- 17 Calle Santiago Iglesias
Patillas, PR 00723-2603 - Phone
- (787) 374-0106
- NPI assigned
- Oct 18, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 595 | PR | MD | Audiologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | 595 | PR | Yes |
Addresses
Primary practice location
17 Calle Santiago Iglesias
Patillas, PR 00723-2603
Mailing address
17 Santiago Iglesias
Patillas, PR 00723
UM
Phone (787) 374-0106
Other providers in Patillas, PR
- Joanna Beltran
- Milca Bernier Figueroa
- Luis D. Bernier
- Kionalis Berrios-Graciani
- Marta G Berrios
- Elba Blondet
- Bright Health PR LLC
- Yuliana Burgos Rivera
- Egsa Camacho
- Nolia Camacho
All providers in Patillas, PR · Other Technician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.