Keyra D Betancourt Betancourt
Individual provider Active NPI Clinical Social Worker · Bayamon, PR
NPI 1891645263 · NPPES record last updated Feb 26, 2026
Key facts
- NPI
- 1891645263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 9164 (PR)
- Practice address
- Urb Riverview, Calle 1,
HH-1, Suite 104
Bayamon, PR 00961 - Phone
- (787) 414-4713
- NPI assigned
- Feb 3, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Urb Royal Palm Calle Azalea
Suite 29
Bayamon, PR 00692-3117
Phone (787) 414-4713
Urb Royal Palm Calle Azalea
Suite 29
Bayamon, PR 00956-3117
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260326001997 | PR | Practitioner - Clinical Social Worker | 3375028558 | Practice locations: Bayamon, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9164 | PR | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 9164 | PR | Yes |
Addresses
Primary practice location
Urb Riverview, Calle 1,
HH-1, Suite 104
Bayamon, PR 00961
Mailing address
Urb. Royal Palm, Calle Azalea,
Ia 29
Bayamon, PR 00956-3117
Phone (787) 414-4713
Other providers in Bayamon, PR
- Yelixza Berrios
- Jaime Luis Berrocal
- Liliana Berrocal
- Carlos Enrique Bertran Rodriguez
- Betances Clinical Center Inc
- Tatiana Taych Betancourt Rivera
- Justino Betancourt
- Lieschen Betancourt
- Veronica Beyley-Pagan
- BHP Pharmacies Representatives
All providers in Bayamon, PR · Clinical Social Worker in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.