Beta Lab

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

8263 Issued in PR

Legal business name

BETA LAB

Practice address

C/ 601 Bloque 222 # 18
Villa Carolina
Carolina, PR 00985-2083

Phone

(787) 613-1942

NPI assigned

Jan 29, 2016

Last updated

Jan 29, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary Carmen Betancourt, M.T

Title

Medical Technologist

Phone

(787) 613-1942

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1013375591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COND. PLAZA DEL PARQUE",
            "address_2": "ED 8 APT C-1",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009832089",
            "telephone_number": "787-613-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C/ 601 BLOQUE 222 # 18",
            "address_2": "VILLA CAROLINA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009852083",
            "telephone_number": "787-613-1942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETA LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-29",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "BETANCOURT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "CARMEN",
        "authorized_official_title_or_position": "MEDICAL TECHNOLOGIST",
        "authorized_official_telephone_number": "787-613-1942",
        "authorized_official_credential": "M.T"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "8263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dania Berroa, M.D.
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• Luis Enrique Betances Rahola, DMD
• Janyse Betancourt, PHL
• Luz A. Betancourt, D.M.D.
• Beyond Wellness Inc.
• Indira Limarie Bhajan, LPC

• Clinical Medical Laboratory in Carolina, PR
• Providers in Carolina, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.