Individual provider Active NPI

Eric N Rodriguez-Benitez, O.D.

  • Optometrist
  • Barceloneta, PR
National Provider Identifier
1013913334
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
366 Issued in PR
Practice address
Carr # 2 KM 56.6
Bo. Florida Afuera
Barceloneta, PR 00617
Phone
(787) 970-8105
Fax
(787) 970-8115
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 366 PR Primary

Addresses

Primary practice location

Carr # 2 KM 56.6
Bo. Florida Afuera
Barceloneta, PR 00617

Mailing address

129 Calle Panama
Urb Los Hucares
Vega Baja, PR 00693-5825
Phone (787) 970-8105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110623000667 PR Practitioner - Optometry 4587842489 Practice locations: Barceloneta, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
366PRMDAudiologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294704000000",
    "number": "1013913334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 CALLE PANAMA",
            "address_2": "URB LOS HUCARES",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006935825",
            "telephone_number": "787-970-8105",
            "fax_number": "787-970-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR # 2 KM 56.6",
            "address_2": "BO. FLORIDA AFUERA",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "00617",
            "telephone_number": "787-970-8105",
            "fax_number": "787-970-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ-BENITEZ",
        "first_name": "ERIC",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2011-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barceloneta, PR

Sources for this page

Verify at the official NPI Registry.