Nicolas Betancourt-Gomez, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

5995 Issued in PR

Practice address

174 Calle Luis Barreras S
Cayey, PR 00736-4615

Phone

(787) 535-0380

Fax

(787) 535-0363

NPI assigned

May 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Practice roles

Locations

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.

• Av Anesthesiology Group PSC

  • Anesthesiology Physician
  • San Juan, PR
  • NPI 1437488863
  Medicare reassignment NPD
• Centro Quirurgico de la Montana Inc

  • Ambulatory Surgical Clinic/Center
  • Cayey, PR
  • NPI 1730126970
  Medicare reassignment NPD

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1649226465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 71 BOX 7217",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007369124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 CALLE LUIS BARRERAS S",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007364615",
            "telephone_number": "787-535-0380",
            "fax_number": "787-535-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETANCOURT-GOMEZ",
        "first_name": "NICOLAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PR",
            "license": "5995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "5995",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juan A Benitez Santana, M.D.
• Genesis Berrios Diaz
• Johany A. Berrios, PTC
• Jose E. Berrios, DMD
• Paola Sofia Berrocal Bravo, MD
• Melissa Bezares Lamboy
• Bio-Medical Applications of Puerto Rico, Inc.
• Grace Marie Bosques Soto
• Breast Cancer Institute C S P
• Yelitza Bultron Ortiz, LND

• Anesthesiology Physician in Cayey, PR
• Providers in Cayey, PR by specialty
• Anesthesiology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.