Organization Active NPI

Lesbia Betancourt

Doing business as Sole Propiertor

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Juan, PR
National Provider Identifier
1346593639
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
3906 Issued in PR
Legal business name
LESBIA BETANCOURT
Doing business as
Sole Propiertor
Practice address
911 Calle Labrador
Country Club
San Juan, PR 00924-1764
Phone
(787) 963-0171
NPI assigned
Oct 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

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

Authorized official

Name
Ms. Lesbia Betancourt, MSW
Title
Clinical Social Work/Clinician
Phone
(787) 963-0171

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 3906 PR Primary
Exclusive Provider Organization 302F00000X 3906 PR

Addresses

Primary practice location

911 Calle Labrador
Country Club
San Juan, PR 00924-1764

Mailing address

911 Calle Labrador
Country Club
San Juan, PR 00924-1764
Phone (787) 963-0171

Other names 1

  • Sole Propiertor Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lesbia Betancourt3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1346593639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 CALLE LABRADOR",
            "address_2": "COUNTRY CLUB",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009241764",
            "telephone_number": "787-963-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 CALLE LABRADOR",
            "address_2": "COUNTRY CLUB",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009241764",
            "telephone_number": "787-963-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESBIA BETANCOURT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "BETANCOURT",
        "authorized_official_first_name": "LESBIA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORK/CLINICIAN",
        "authorized_official_telephone_number": "787-963-0171",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PR",
            "license": "3906",
            "primary": true
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "PR",
            "license": "3906",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sole Propiertor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.