Isabel Cristina Betancourt-Gomez, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

12310 Issued in PR

Practice address

El Monte Mall Shopping Center Suite 3225
652 Ave Munoz-Rivera
San Juan, PR 00918

Phone

(787) 751-6210

NPI assigned

Jun 9, 2005

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Advanced Professional OB/GYN, PSC

  • Obstetrics & Gynecology Physician
  • San Juan, PR
  • NPI 1760486575
  NPD (past)

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841294667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 493",
            "address_2": "PO BOX 70344",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009368344",
            "telephone_number": "787-751-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EL MONTE MALL SHOPPING CENTER SUITE 3225",
            "address_2": "652 AVE MUNOZ-RIVERA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-751-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETANCOURT-GOMEZ",
        "first_name": "ISABEL",
        "middle_name": "CRISTINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "12310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "20051",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanlouis Betancourt Gaztambide, PHARMD
• Jose Joaquin Betancourt Lopez Sr., M.D.
• Maria Cristina Betancourt Quiles, M.D.
• Carmen Milagros Betancourt Rodriguez, LND
• Stephanie A Betancourt Rosa, OTR/L
• Dilka Betancourt, M.A.
• Emilio Betancourt Sr., MD
• Fabiola Michelle Betancourt
• Ivelisse Betancourt, RPH
• Jose J. Betancourt

• Pediatrics Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Pediatrics Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.