Stephanie A Betancourt Rosa, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1315 Issued in PR

Practice address

Ser de Puerto Rico
500 Calle Baez
San Juan, PR 00917

Phone

(787) 767-6710

NPI assigned

Dec 16, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Sociedad de Educacion Y Rehabilitacion Ser de Puerto Rico Inc

  dba Ser de Puerto Rico

  • Physical Medicine & Rehabilitation Physician
  • San Juan, PR
  • NPI 1356388532

  Single Specialty

  NPD
• Aos Peds Rehab, LLC

  • Rehabilitation Practitioner
  • San Juan, PR
  • NPI 1245097120

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1952997710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9726 VILLAS DE CIUDAD JARDIN APT C302",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007299847",
            "telephone_number": "787-603-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SER DE PUERTO RICO",
            "address_2": "500 CALLE BAEZ",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00917",
            "telephone_number": "787-767-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETANCOURT ROSA",
        "first_name": "STEPHANIE",
        "middle_name": "A",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "PR",
            "license": "1315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rolando R. Betancourt de Leon
• Jeanlouis Betancourt Gaztambide, PHARMD
• Jose Joaquin Betancourt Lopez Sr., M.D.
• Maria Cristina Betancourt Quiles, M.D.
• Carmen Milagros Betancourt Rodriguez, LND
• Isabel Cristina Betancourt-Gomez, M.D.
• Dilka Betancourt, M.A.
• Emilio Betancourt Sr., MD
• Fabiola Michelle Betancourt
• Ivelisse Betancourt, RPH

• Occupational Therapist in San Juan, PR
• Providers in San Juan, PR by specialty
• Occupational Therapist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.