Individual ProviderWilliam James Betancourt BauerStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice AddressCentro Medico De Puerto Rico Barrio Monacillos, San Juan, PR 00935-0001(787) 777-3535(787) 461-6304PECOS EnrollmentBased on the most recent information from CMS, provider William James Betancourt Bauer does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1790543205Provider TypeIndividualFull NameBetancourt Bauer, William JamesGenderMaleSole ProprietorNoEnumeration Date3/8/2024Last Updated7/17/2024Contact InformationPractice LocationPractice AddressCentro Medico De Puerto Rico Barrio Monacillos, San Juan, PR 00935-0001Phone(787) 777-3535FaxUnlisted FaxMailing LocationMailing AddressCalle Nueva 173 Barriada Israel, San Juan, PR 00917-1720Phone(787) 461-6304FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer