Active NPI
Benigno Dominguez, RPH
- Pharmacist
- Caguas, PR
National Provider Identifier
1003948316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4145
- Practice address
- Carr #1 KM 34.0 Reparto Ind. Cartagena
Box 368
Caguas, PR 00726 - Phone
- (787) 653-0951
- Fax
- (787) 744-4898
- NPI assigned
- Mar 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4145 | PR | Primary |
| Pharmacist | 183500000X | PS27430 | FL |
Addresses
Primary practice location
Carr #1 KM 34.0 Reparto Ind. Cartagena
Box 368
Caguas, PR 00726
Mailing address
PO Box 1295
Caguas, PR 00726-1295
Phone (787) 745-4381
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS27430 | FL | MD | Pharmacist |
| 4145 | PR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dalp Corporation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003948316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1295",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007261295",
"telephone_number": "787-745-4381",
"fax_number": "787-258-1140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR #1 KM 34.0 REPARTO IND. CARTAGENA",
"address_2": "BOX 368",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00726",
"telephone_number": "787-653-0951",
"fax_number": "787-744-4898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMINGUEZ",
"first_name": "BENIGNO",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "4145",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS27430",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.