Provider Demographics
NPI:1437110038
Name:BETANCES-CARRERAS, ROBERTO (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERTO
Middle Name:
Last Name:BETANCES-CARRERAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 AVE MANUEL DOMENECH
Mailing Address - Street 2:HRPLABS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-3509
Mailing Address - Country:US
Mailing Address - Phone:787-765-7320
Mailing Address - Fax:787-753-7656
Practice Address - Street 1:300 AVE MANUEL DOMENECH
Practice Address - Street 2:HRPLABS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-3509
Practice Address - Country:US
Practice Address - Phone:787-765-7320
Practice Address - Fax:787-753-7656
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2014-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4317207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRC79542Medicare UPIN
PR26499Medicare ID - Type Unspecified