Mrs Wanda Socorro Betancourt Rivera, RN - Registered Nurse in South Bend, IN

Mrs Wanda Socorro Betancourt Rivera, RN is a Registered Nurse based in South Bend, Indiana. Mrs Wanda Socorro Betancourt Rivera is licensed to practice in Indiana (license number 28217649A) and her current practice location is 2015 W Western Ave Ste 132, South Bend, Indiana. She can be reached at her office (for appointments etc.) via phone at (574) 327-0140.

NPI number for Mrs Wanda Socorro Betancourt Rivera is 1740637370 and her current mailing address is 2015 W Western Ave, Suite 132, South Bend, Indiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740637370.

Contact Information

Mrs Wanda Socorro Betancourt Rivera, RN
2015 W Western Ave Ste 132,
South Bend, IN 46619-3561
(574) 327-0140
Not Available

Map and Direction




Provider's Profile

Full NameMrs Wanda Socorro Betancourt Rivera
GenderFemale
SpecialityRegistered Nurse
Location2015 W Western Ave Ste 132, South Bend, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1740637370
  • Provider Enumeration Date: 05/24/2016
  • Last Update Date: 06/15/2017

Medical Identifiers

Medical identifiers for Mrs Wanda Socorro Betancourt Rivera such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740637370NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WH0200XRegistered Nurse - Home Health 28217649A (Indiana)Secondary
163WI0500XRegistered Nurse - Infusion Therapy 28217649A (Indiana)Secondary
163WW0000XRegistered Nurse - Wound Care 28217649A (Indiana)Secondary
372600000XAdult Companion 28217649A (Indiana)Secondary
374U00000XHome Health Aide 28217649A (Indiana)Secondary
376J00000XHomemaker 28217649A (Indiana)Secondary
376K00000XNurse's Aide 28217649A (Indiana)Secondary
163W00000XRegistered Nurse 28217649A (Indiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Wanda Socorro Betancourt Rivera is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Wanda Socorro Betancourt Rivera, RN
2015 W Western Ave, Suite 132,
South Bend, IN 46619-3544

Ph: (574) 229-8749
Mrs Wanda Socorro Betancourt Rivera, RN
2015 W Western Ave Ste 132,
South Bend, IN 46619-3561

Ph: (574) 327-0140

Reviews and Comments


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