Active NPIIndividual provider

Keydi N Betancourt Gonzalez

Family Medicine, Geriatric Medicine in Gurabo, Puerto Rico

NPI Number1457704322
Practice location
Carr. 941 Salida Bo. Jaguas Calle San Antonio Final, Gurabo, PR 00778
Fax
—
Last updated
November 17, 2021

Keydi Nicole Betancourt Gonzalez is a Family Medicine, Geriatric Medicine based in Gurabo, PR. Keydi Nicole Betancourt Gonzalez practices in Gurabo, PR. The NPI Number for Keydi Nicole Betancourt Gonzalez is 1457704322 and holds a License No. 21435 (PR). The current practice location address for Keydi Nicole Betancourt Gonzalez is Carr. 941 Salida Bo. Jaguas Calle San Antonio Final, Gurabo, PR 00778 and can be reached out via phone at 787-737-2311.

Provider Profile Details

NPI Number
1457704322
Provider Name
Keydi Nicole Betancourt Gonzalez
Provider Entity Type
Individual
Gender
Female
Address
Carr. 941 Salida Bo. Jaguas Calle San Antonio Final, Gurabo, PR 00778
Phone Number
787-737-2311
Primary Taxonomy
Family Medicine, Geriatric Medicine · 207QG0300X
Sole Proprietor
No
Provider Enumeration Date
July 15, 2016
Last Update Date
November 17, 2021
Certification Date
November 3, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
Carr. 941 Salida Bo. Jaguas Calle San Antonio Final
Gurabo, PR 00778
City
Gurabo
Zip
00778
Phone Number
787-737-2311
Gurabo, PR 00778Get directions →

Provider Business Mailing Address Details

Address
Po Box 1277
Gurabo, PR 00778-1277
City
Gurabo
State
PR
Zip
00778-1277
Phone Number
787-737-2311

License Information

License Number (1)
21435
License State (1)
PR
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (3)
21435
License State (3)
PR
Taxonomy (3)
Family Medicine, Geriatric Medicine · 207QG0300X · 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 Keydi N Betancourt Gonzalez?

The NPI number of Keydi N Betancourt Gonzalez is 1457704322. It was assigned on July 15, 2016 and is currently active in the NPPES registry.

What is the specialty of Keydi N Betancourt Gonzalez?

Keydi N Betancourt Gonzalez is registered under the primary taxonomy Family Medicine, Geriatric Medicine (code 207QG0300X), licensed in PR under license number 21435.

Where does Keydi N Betancourt Gonzalez practice?

The practice location is Carr. 941 Salida Bo. Jaguas Calle San Antonio Final, Gurabo, PR 00778. The office can be reached at 787-737-2311 (phone).

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 1457704322 directly on the NPPES registry website.

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