Individual provider Active NPI

Rafael Doel Betancourt Garcia, MD

  • Hematology & Oncology Physician
  • Guaynabo, PR
National Provider Identifier
1831181452
Registry record updated Jul 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
15634 Issued in PR
Practice address
12 Ave Parque de Los Ninos
Box 164
Guaynabo, PR 00969-5501
Phone
(787) 383-6687
NPI assigned
Aug 19, 2005
Last updated
Jul 7, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 15634 PR Primary

Addresses

Primary practice location

12 Ave Parque de Los Ninos
Box 164
Guaynabo, PR 00969-5501

Mailing address

PO Box 2199
Guaynabo, PR 00970-2199
Phone (939) 717-7007

Other names 1

  • Rafael Doel Betancourt Garcia Former name

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
I20081124000681 PR Practitioner - Hematology/OncologyPractitioner - Internal Medicine 1850451642 Practice locations: Hato Rey, PR

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

735 Ave Ponce de Leon
Suite 401
Hato Rey, PR 00917-5025
Phone (787) 383-6687

Torre del Auxilio Mutuo
Suite 401 Ave Ponce de Leon 735
Hato Rey, PR 00917

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Rafael D Betancourt Garcia (Hema-Onco) LLC Current Accepting new patients
Dr. Luis Flores Caban (Hematologo Oncologo) CSP Hematology & Oncology Past Accepting new patients

Locations

735 Ave Ponce de Leon
Ste 401
San Juan, PR 00917
Phone (787) 383-6687

Organizations & group practices 2

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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246924800000",
    "number": "1831181452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2199",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009702199",
            "telephone_number": "939-717-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 AVE PARQUE DE LOS NINOS",
            "address_2": "BOX 164",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695501",
            "telephone_number": "787-383-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETANCOURT GARCIA",
        "first_name": "RAFAEL",
        "middle_name": "DOEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2009-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PR",
            "license": "15634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAFAEL",
            "last_name": "BETANCOURT GARCIA",
            "middle_name": "DOEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.