Carmen H Benabe, O.D.

Key facts

NPI

1023344843

Entity type

Individual (NPI type 1)

Primary specialty

Optometrist 152W00000X

License

624 (PR)

Practice address

201 Ave de Diego Ste 40
San Juan, PR 00927-5828

Phone

(787) 637-1464

NPI assigned

Oct 29, 2009

Sex

Female

Sole proprietor

Yes

Organizations & group practices 3

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.

• Benabe Visual Clinic Clinic/Center · Bayamon, PR · NPI 1114648128
  NPD (past) Authorized official OPTOMETRIST
• Caribe Opti Lab (Dba Optics Eye Care) Eyewear Supplier · San Juan, PR · NPI 1487999223
  NPD
• Optics Eye Care Inc Eyewear Supplier · San Juan, PR · NPI 1972983112
  NPD

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: No · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 24, 2020.

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1023344843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 194483",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009194483",
            "telephone_number": "787-637-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 AVE DE DIEGO STE 40",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009275828",
            "telephone_number": "787-637-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENABE",
        "first_name": "CARMEN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-29",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

• Jose L. Beltran, M.D.
• Marinette Beltran, MSW
• Savannah Ji Beltran
• Luis Beltre, M.D.
• Erika Michelle Benabe-Gonzalez, MD, FACOG
• Julio Edgardo Benabe, M.D.
• Lianette Benabe, PHARM.D.
• Eliezer Benero-Natal, M.D.
• Diego Rafael Benet Rivera, MD
• Jennifer Beniquez Martir, MEDICAL STUDENT

All providers in San Juan, PR · Optometrist in Puerto Rico