Nicolas R Betancourt, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

7226 Issued in PR

Practice address

Torre de Auxilio Mutuo 735 Ponce de Leon
Suite 207
San Juan, PR 00917-5024

Phone

(787) 767-0555

Fax

(787) 767-0655

NPI assigned

Mar 16, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bryan Internal Medicine LLC

  • Internal Medicine Physician
  • San Juan, PR
  • NPI 1386418945
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053445403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TORRE DE AUXILIO MUTUO 735 PONCE DE LEON",
            "address_2": "SUITE 207",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175024",
            "telephone_number": "787-767-0655",
            "fax_number": "787-767-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TORRE DE AUXILIO MUTUO 735 PONCE DE LEON",
            "address_2": "SUITE 207",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175024",
            "telephone_number": "787-767-0555",
            "fax_number": "787-767-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETANCOURT",
        "first_name": "NICOLAS",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "7226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "066410",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IMC",
            "identifier": "8537",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "0400034",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "29460",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fabiola Michelle Betancourt
• Ivelisse Betancourt, RPH
• Jose J. Betancourt
• Liz M Betancourt, PH.D
• Nayda Betancourt, MD
• Pedro Betancourt
• Winston Henry Betancourt Jr., D.M.D.
• Better Emotions LLC
• Better Health Chiropractic LLC
• Better Hearing (Hearing Tec)

• Internal Medicine Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.