Individual provider Active NPI

Elba Ismaris Betancourt Velez, M.D.

  • Internal Medicine Physician
  • Guaynabo, PR
National Provider Identifier
1932361409
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
15981 Issued in PR
Practice address
123 Calle 21
Urb. Ponce de Leon
Guaynabo, PR 00969-4439
Phone
(787) 518-1811
NPI assigned
Jun 26, 2008
Last updated
Nov 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 15981 PR Primary

Addresses

Primary practice location

123 Calle 21
Urb. Ponce de Leon
Guaynabo, PR 00969-4439

Mailing address

123 Calle 21
Urb. Ponce de Leon
Guaynabo, PR 00969-4439
Phone (787) 518-1811

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
I20140402002211 PR Practitioner - Internal Medicine 4082845136 Reassigns benefits to 2 organizations
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Menonita de CayeyGroup PAC ID 2466449657, 57 clinicians

Practice addresses (Care Compare)

Carretera 14 Interior
Bo Rincon
Cayey, PR 00737-2800
Phone (787) 434-1700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mennonite General Hospital Inc CurrentSince May 4, 2019 Accepting new patients
Mennonite General Hospital Inc. CurrentSince May 4, 2019 Accepting new patients
Hospital Menonita de Cayey CurrentSince May 8, 2017 Accepting new patients
Hospital Menonita de Cayey Current Accepting new patients
Mennonite General Hospital Inc Current Accepting new patients

Organizations & group practices 5

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": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1932361409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 CALLE 21",
            "address_2": "URB. PONCE DE LEON",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694439",
            "telephone_number": "787-518-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 CALLE 21",
            "address_2": "URB. PONCE DE LEON",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694439",
            "telephone_number": "787-518-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETANCOURT VELEZ",
        "first_name": "ELBA",
        "middle_name": "ISMARIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "15981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.