Josue Alexis Benabe Carlo, M.D.
Individual provider Active NPI General Practice Physician · Las Piedras, PR
NPI 1003343773 · NPPES record last updated Mar 18, 2019
Key facts
- NPI
- 1003343773
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 21150 (PR)
- Practice address
- 124 Calle Guayacan
Urb. Mansiones de Los Artesanos
Las Piedras, PR 00771 - Phone
- (787) 390-5519
- NPI assigned
- May 12, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190711000551 | PR | Practitioner - General Practice | 6507191657 |
Reassigns benefits to 3 organizations Practice locations: San Juan, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Puerto Rico Primary Care, Mso, Inc. - Laboratorio | Current |
Accepting new patients | |
| Puerto Rico Primary Care Mso, Inc. - Radiologia | Current |
Accepting new patients | |
| Centro Medico del Turabo Inc | Current |
Accepting new patients | |
| PR Healthcare Management Group | Current |
Accepting new patients | |
| Centro Medico del Turabo Inc | General Practice | Current |
Accepting new patients |
| Puerto Rico Primary Care Mso, Inc. - CDT Luquillo | Current | Accepting new patients | |
| PR Healthcare Management Group | Current |
Accepting new patients |
Locations
100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261
404 Ave General Valero
Fajardo, PR 00738
Phone (781) 299-4731
159 Calle Quinto Centenario
Luquillo, PR 00773
Phone (787) 500-7752
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 21150 | PR | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
124 Calle Guayacan
Urb. Mansiones de Los Artesanos
Las Piedras, PR 00771
Mailing address
124 Calle Guayacan
Urb. Mansiones de Los Artesanos
Las Piedras, PR 00771
Phone (787) 390-5519
Other providers in Las Piedras, PR
- Camille Ares Figueroa
- Luis Antonio Arzuaga Rivera
- Marilyn Arzuaga-Reyes
- Edgar Ramon Bastardo Aguilar
- Natasha Belgodere Rodriguez
- Nilmarie Benitez
- Jose Antonio Berrios
- Bio-Medical Applications of Puerto Rico, Inc.
- Jayson Bonilla Gomez
- Cinthya Gregoria Bosch
All providers in Las Piedras, PR · General Practice Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.