Luis Enrique Betances Rahola, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

1403 Issued in PR

Practice address

Cond Condesa del Mar # 3103
Apartamento 1207 Isla Verde
Carolina, PR 00979-4900

Phone

(787) 908-2992

NPI assigned

Apr 27, 2006

Last updated

Sep 23, 2015By 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

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Dental Health Management Corp

  • Dental Clinic/Center
  • Santurce, PR
  • NPI 1316174170
  NPD (past)

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1063479616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 CALLE 14 # A",
            "address_2": "BO OBRERO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009154129",
            "telephone_number": "787-908-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COND CONDESA DEL MAR # 3103",
            "address_2": "APARTAMENTO 1207 ISLA VERDE",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009794900",
            "telephone_number": "787-908-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETANCES RAHOLA",
        "first_name": "LUIS",
        "middle_name": "ENRIQUE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "1403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jossepp Berry-Polanco, MD
• Best Dental Care Corp
• Best Medical Ambulance Inc
• Best X-Ray Quality, PSC
• Beta Lab
• Janyse Betancourt, PHL
• Luz A. Betancourt, D.M.D.
• Beyond Wellness Inc.
• Indira Limarie Bhajan, LPC
• Bio-Medical Applications of Carolina, Inc. (Centro Renal de Carolina)

• Dentist in Carolina, PR
• Providers in Carolina, PR by specialty
• Dentist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.