Individual provider Active NPI

Luz A. Betancourt, D.M.D.

  • General Practice Dentistry
  • Carolina, PR
National Provider Identifier
1013994029
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2021 Issued in PR
Practice address
#1213 Luis Caballer Street
El Comandante
Carolina, PR 00924
Phone
(787) 769-1990
Fax
(787) 762-5890
NPI assigned
Dec 30, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2021 PR Primary

Addresses

Primary practice location

#1213 Luis Caballer Street
El Comandante
Carolina, PR 00924

Mailing address

#1213 Luis Caballer Street
El Comandante
Carolina, PR 00924
Phone (787) 769-1990

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

LicenseStateTypeSpecialty
2021PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1013994029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#1213 LUIS CABALLER STREET",
            "address_2": "EL COMANDANTE",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00924",
            "telephone_number": "787-769-1990",
            "fax_number": "787-762-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#1213 LUIS CABALLER STREET",
            "address_2": "EL COMANDANTE",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00924",
            "telephone_number": "787-769-1990",
            "fax_number": "787-762-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETANCOURT",
        "first_name": "LUZ",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.