Individual provider Active NPI

Nannette L. Santiago Betancourt, MD

  • General Practice Physician
  • Caguas, PR
National Provider Identifier
1730673666
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
19946 Issued in PR
Practice address
3 Munoz Rivera
Caguas, PR 00925
Phone
(787) 286-2800
Fax
(787) 286-2805
NPI assigned
Jun 14, 2018
Last updated
Jun 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 19946 PR Primary

Addresses

Primary practice location

3 Munoz Rivera
Caguas, PR 00925

Mailing address

PO Box 1357
Caguas, PR 00726-1357
Phone (787) 286-2800

Other identifiers 1

IdentifierTypeStateIssuer
19946OtherPRMEDICAL LICENSE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190626001667 PR Practitioner - General Practice 0345574208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Tiger Med CorpGroup PAC ID 3476707258, 13 clinicians

Practice addresses (Care Compare)

3 Calle Munoz Rivera
Caguas, PR 00725-2602
Phone (787) 286-2800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1730673666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1357",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007261357",
            "telephone_number": "787-286-2800",
            "fax_number": "787-286-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MUNOZ RIVERA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00925",
            "telephone_number": "787-286-2800",
            "fax_number": "787-286-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO BETANCOURT",
        "first_name": "NANNETTE",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "19946",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.