Active NPI
Johana V. Betances Lopez, M.D.
- Pediatrics Physician
- San Juan, PR
National Provider Identifier
1639584741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 19694
- Practice address
- Centro Medico
Bo. Monacillos Carr. 22
San Juan, PR 00935-0001 - Phone
- (787) 777-3535
- NPI assigned
- Jun 26, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 19694 | PR | Primary |
Addresses
Primary practice location
Centro Medico
Bo. Monacillos Carr. 22
San Juan, PR 00935-0001
Mailing address
Centro Medico
Bo. Monacillos Carr. 22
San Juan, PR 00935-0001
Phone (787) 777-3535
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19694 | PR | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506988800000",
"number": "1639584741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CENTRO MEDICO",
"address_2": "BO. MONACILLOS CARR. 22",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009350001",
"telephone_number": "787-777-3535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CENTRO MEDICO",
"address_2": "BO. MONACILLOS CARR. 22",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009350001",
"telephone_number": "787-777-3535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETANCES LOPEZ",
"first_name": "JOHANA",
"middle_name": "V.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-26",
"last_updated": "2017-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "19694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
- Best Option Healthcare Puerto Rico LLC
- Best Option Healthcare Puerto Rico LLC
- Best Option Specialty Pharmacy, LLC
- Best Prosthetics Services, Inc.
- Best Transportation of PR
- Natalia M. Betances Ramirez, M.D.
- Roberto Betances-Carreras, M.D.
- Rolando R. Betancourt de Leon
- Jeanlouis Betancourt Gaztambide, PHARMD
- Jose Joaquin Betancourt Lopez Sr., M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.