Organization Active NPI

Alejandro J. Betancourt, M.D., PA

  • Legal Medicine
  • Harlingen, TX
National Provider Identifier
1912199357
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
L2139 Issued in TX
Legal business name
ALEJANDRO J. BETANCOURT, M.D., PA
Practice address
597 W Sesame Dr
Suite D
Harlingen, TX 78550-8364
Phone
(956) 425-3706
Fax
(956) 425-6731
NPI assigned
Aug 9, 2007
Last updated
Aug 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Authorized official

Name
Alejandro J. Betancourt, M.D.NPI 1528129228
Title
Medical Doctor/Self
Phone
(956) 425-3706

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X L2139 TX Primary

Addresses

Primary practice location

597 W Sesame Dr
Suite D
Harlingen, TX 78550-8364

Mailing address

597 W Sesame Dr
Suite D
Harlingen, TX 78550-8364
Phone (956) 425-3706

Other identifiers 4

IdentifierTypeStateIssuer
154192201MedicaidTX
0010JUOtherBCBS
1528129228OtherTXNPI
MDL2139OtherTXWC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100223000822 TX Part B Supplier - Clinic/Group Practice 6800930298 Receives reassigned benefits from 2 practitioners
Practice locations: Brownsville, TX; Edinburg, TX; Harlingen, TX

National Provider Directory

National Provider Directory

Locations

451 E Alton Gloor Blvd
#J
Brownsville, TX 78526
Phone (956) 425-3706

2505 Cornerstone Blvd
#J
Edinburg, TX 78539
Phone (956) 425-3706

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHHDAD

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1912199357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "597 W SESAME DR",
            "address_2": "SUITE D",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508364",
            "telephone_number": "956-425-3706",
            "fax_number": "956-425-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "597 W SESAME DR",
            "address_2": "SUITE D",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508364",
            "telephone_number": "956-425-3706",
            "fax_number": "956-425-6731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEJANDRO J. BETANCOURT, M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "BETANCOURT",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MEDICAL DOCTOR/SELF",
        "authorized_official_telephone_number": "956-425-3706",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "TX",
            "license": "L2139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154192201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0010JU",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1528129228",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WC",
            "identifier": "MDL2139",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.