Active NPIIndividual providerSole proprietor

Ivelisse Betancourt, RPH

Pharmacist in San Juan, Puerto Rico

NPI Number1063547123
Practice location
Manuel Pavia Ave., #615, San Juan, PR 00909
Fax
787-722-6555
Last updated
April 11, 2017

Ivelisse Betancourt is a Pharmacist based in San Juan, PR. Ivelisse Betancourt practices in San Juan, PR and has the professional credentials of RPH. The NPI Number for Ivelisse Betancourt is 1063547123 and holds a License No. 4013 (PR). The current practice location address for Ivelisse Betancourt is Manuel Pavia Ave., #615, San Juan, PR 00909 and can be reached out via phone at 787-722-3600 and via fax at 787-722-6555.

Provider Profile Details

NPI Number
1063547123
Provider Name
Ivelisse Betancourt
Credential
RPH
Provider Entity Type
Individual
Gender
Female
Address
Manuel Pavia Ave., #615, San Juan, PR 00909
Phone Number
787-722-3600
Fax Number
787-722-6555
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
Yes
Provider Enumeration Date
February 22, 2007
Last Update Date
April 11, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
Manuel Pavia Ave.
#615
San Juan, PR 00909
Zip
00909
Phone Number
787-722-3600
Fax Number
787-722-6555
San Juan, PR 00909Get directions →

Provider Business Mailing Address Details

Address
Manuel Pavia Ave.
#615
San Juan, PR 00909
City
San Juan
State
PR
Zip
00909
Phone Number
787-722-3600
Fax Number
787-722-6555

License Information

License Number
4013
License State
PR
Taxonomy
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ivelisse Betancourt, RPH?

The NPI number of Ivelisse Betancourt, RPH is 1063547123. It was assigned on February 22, 2007 and is currently active in the NPPES registry.

What is the specialty of Ivelisse Betancourt, RPH?

Ivelisse Betancourt, RPH is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in PR under license number 4013.

Where does Ivelisse Betancourt, RPH practice?

The practice location is Manuel Pavia Ave., #615, San Juan, PR 00909. The office can be reached at 787-722-3600 (phone) or 787-722-6555 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063547123 directly on the NPPES registry website.

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