Kevin Calderon Betancourt, FNP-C
Individual provider Active NPI Primary Care Nurse Practitioner · Canovanas, PR
NPI 1508739632 · NPPES record last updated Sep 25, 2025
Key facts
- NPI
- 1508739632
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- F09250275 (PR)
- Practice address
- Calle 14 V2
Jardines de Palmarejo
Canovanas, PR 00729 - Phone
- (787) 207-5142
- NPI assigned
- Sep 25, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Guaynabo, PR 00970
V2 Calle
Suite 14
Canovanas, PR 00729
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F09250275 | PR | MD | Primary Care Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | F09250275 | PR | Yes |
Addresses
Primary practice location
Calle 14 V2
Jardines de Palmarejo
Canovanas, PR 00729
Mailing address
Calle 14 V2
Jardines de Palmarejo
Canovanas, PR 00729
Phone (787) 207-5142
Other providers in Canovanas, PR
- C&R Medical Services, PSC
- Amy Lee Cabrera
- Vilmarie Cabrera
- Josabel Calderon Ayala
- Julio Calderon Batancourt
- Lee Melissa Camilo
- Campo Rico Clini-Lab, Inc.
- Sandra M Candelario
- Madeline Candelas
- Raymond Cano
All providers in Canovanas, PR · Primary Care Nurse Practitioner in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.