Maria Lourdes Betancourt-Pineiro, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

6418 Issued in PR

Practice address

Urb Landrau
1411 Carr 21
Rio Piedras, PR 00921-3408

Phone

(787) 793-3095

Fax

(787) 782-9368

NPI assigned

Nov 14, 2005

Last updated

Jun 5, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

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

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401926400000",
    "number": "1285616516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270334",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009270334",
            "telephone_number": "787-793-3095",
            "fax_number": "787-782-9368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB LANDRAU",
            "address_2": "1411 CARR 21",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "009213408",
            "telephone_number": "787-793-3095",
            "fax_number": "787-782-9368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETANCOURT-PINEIRO",
        "first_name": "MARIA",
        "middle_name": "LOURDES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-14",
        "last_updated": "2014-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "6418",
            "primary": true
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "PR",
            "license": "6418",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "PR",
            "license": "6418",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA PR",
            "identifier": "8000503",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALIC",
            "identifier": "PE0563",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA",
            "identifier": "068131",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "97846BE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zaira Luz Benabe, MED./OTR/L.
• Sandra T. Berdecia, MD
• Yulevymar Bermudez Lugo, MD
• Lilliam Bernier, DMD
• Juan Ernesto Berrios, MD
• Julia Betancourt, R.N.B.S.N.
• Biotronic International LLC
• Marino Blasini Rivera, M.D.
• Vivian Raquel Bonilla- Felix, MD
• Marilia Joaxi Brunet Romero, PHARMD

• Dermatology Physician in Rio Piedras, PR
• Providers in Rio Piedras, PR by specialty
• Dermatology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.