Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 7963 | PR |
NPI | 1396729398 |
---|---|
Provider Name | Dr. Diana Betancourt-Aleman |
First Address | Trujillo Alto, PR 00976-3607 |
Second Address | Trujillo Alto, PR 00976-3606 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2005 |
Last Update Date | 08/07/2007 |