Organization Active NPI

Perez- Betancourt Medical, P.S.C

  • Neurology Physician
  • Trujillo Alto, PR
National Provider Identifier
1205046786
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
5693 Issued in PR
Legal business name
PEREZ- BETANCOURT MEDICAL, P.S.C
Practice address
Carr. 848 KM 0.0
Centro -4 Plaza Suite 202
Trujillo Alto, PR 00976
Phone
(787) 761-2305
Fax
(787) 761-1895
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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

Authorized official

Name
Dr. Janet Perez-Chiesa, M.D.
Title
President
Phone
(787) 761-2305

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Pulmonology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0214X 7963 PR
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X 5693 PR Primary

Addresses

Primary practice location

Carr. 848 KM 0.0
Centro -4 Plaza Suite 202
Trujillo Alto, PR 00976

Mailing address

PMB 381 220 Western Auto Plaza
Suite 101
Trujillo Alto, PR 00976-3606
Phone (787) 761-2305

National Provider Directory

National Provider Directory

Locations

371 Calle de Diego
San Juan, PR 00923
Phone (787) 754-4244

202 Carr 848
#0
Trujillo Alto, PR 00976
Phone (787) 761-2305

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295568000000",
    "number": "1205046786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 381 220 WESTERN AUTO PLAZA",
            "address_2": "SUITE 101",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009763606",
            "telephone_number": "787-761-2305",
            "fax_number": "787-761-1895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 848 KM 0.0",
            "address_2": "CENTRO -4 PLAZA SUITE 202",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "787-761-2305",
            "fax_number": "787-761-1895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEREZ- BETANCOURT MEDICAL, P.S.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2011-01-21",
        "status": "A",
        "authorized_official_last_name": "PEREZ-CHIESA",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-761-2305",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "PR",
            "license": "7963",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PR",
            "license": "5693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trujillo Alto, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; 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.