Active NPI
Rolando R. Betancourt de Leon
- Registered Nurse
- San Juan, PR
National Provider Identifier
1205595782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 3069
- Practice address
- Ave Ponce de Leon
560 Hato Rey
San Juan, PR 00918 - Phone
- (787) 765-3560
- NPI assigned
- Dec 13, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 3069 | PR | Primary |
Addresses
Primary practice location
Ave Ponce de Leon
560 Hato Rey
San Juan, PR 00918
Mailing address
Urb. Beverly Hills
Camino Tortugo 34
San Juan, PR 00926
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3069 | PR | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fuentes Medical Center Corp | Current | Accepting new patients | |
| Edp T Cuida | Past | Accepting new patients |
Locations
560 Ave Ponce de Leon
San Juan, PR 00918
Phone (786) 515-5592
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- San Juan, PR
- NPI 1619831427
-
- General Practice Physician
- San Sebastian, PR
- NPI 1174216345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639353600000",
"number": "1205595782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB. BEVERLY HILLS",
"address_2": "CAMINO TORTUGO 34",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE PONCE DE LEON",
"address_2": "560 HATO REY",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00918",
"telephone_number": "787-765-3560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETANCOURT DE LEON",
"first_name": "ROLANDO",
"middle_name": "R.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-12-13",
"last_updated": "2021-12-13",
"certification_date": "2021-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PR",
"license": "3069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
- Best Prosthetics Services, Inc.
- Best Transportation of PR
- Johana V. Betances Lopez, M.D.
- Natalia M. Betances Ramirez, M.D.
- Roberto Betances-Carreras, M.D.
- Jeanlouis Betancourt Gaztambide, PHARMD
- Jose Joaquin Betancourt Lopez Sr., M.D.
- Maria Cristina Betancourt Quiles, M.D.
- Carmen Milagros Betancourt Rodriguez, LND
- Stephanie A Betancourt Rosa, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.