Manuel Abraham Betancourt, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1054263 Issued in TX

Practice address

2520 Broadway St Ste 100
San Antonio, TX 78215-1148

Phone

(210) 233-7000

NPI assigned

Sep 21, 2024

Last updated

Oct 17, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Barrio Comprehensive Family Health Care Center, Inc.

  dba CommuniCare Health Centers

  • Federally Qualified Health Center (FQHC)
  • San Antonio, TX
  • NPI 1902883739
  Medicare reassignment NPD
• Barrio Comprehensive Family Health Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • San Marcos, TX
  • NPI 1295601052
  NPD
• Barrio Comprehensive Family Health Care Center, Inc.

  dba Communicare Health Centers

  • Federally Qualified Health Center (FQHC)
  • San Antonio, TX
  • NPI 1952690463
  NPD

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

{
    "created_epoch": "1726876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1801613815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11711 FOLSOM PASS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782452070",
            "telephone_number": "832-668-6391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 BROADWAY ST STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151148",
            "telephone_number": "210-233-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11711 Folsom Pass",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782452070",
            "country_code": "US",
            "telephone_number": "832-668-6391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETANCOURT",
        "first_name": "MANUEL",
        "middle_name": "ABRAHAM",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-21",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1054263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Betanco, APRN
• Eileen Betancourt Martinez, SLP
• Amanda Jeanette Betancourt-Cortez, PA-C
• Andrea Betancourt
• Eve Marie Betancourt, M.D.
• Nicole Martinez Betancourt
• Veronica Sampayo Betancur, MD
• Bethesda Pediatrics PLLC
• Bethesda Texas Home Health.Limited Liability Company
• Bethesda Therapy Center

• Family Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.