| Doctor Name: | DR. YADIRA MORAN BETANCOURT |
| NPI Number: | 1144283789 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 14461 |
| Business Practice Address: | Carretera # 2 Hospital Hermanos Melendez Bayamon, PR - 009600000 |
| Business Phone Number: | 7872035719 |
| Business Fax Number: | |
| Mailing Address: | Hc 5 Box 93480, ARECIBO |
| State: | PR |
| Postal Code: | 006129568 |
| Phone Number: | 7878807904 |
| Fax Number: | 7878818624 |
| NPI Enumeration Date: | 04/06/2006 |
| NPI Last Update Date: | 08/26/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 14461 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |