Individual provider Active NPI

Carlos E Vallejo-Bennett, M.D.

  • Internal Medicine Physician
  • Caguas, PR
National Provider Identifier
1033289939
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
16197 Issued in PR
Practice address
Ave. Luis Munoz Marin
Hima Plaza I Suite 312
Caguas, PR 00725
Phone
(787) 961-4668
Fax
(787) 961-4674
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 16197 PR Primary

Addresses

Primary practice location

Ave. Luis Munoz Marin
Hima Plaza I Suite 312
Caguas, PR 00725

Mailing address

M31 Calle Wilson
Guaynabo, PR 00969-3950
Phone (787) 948-1350

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061122000411 PR Practitioner - Internal MedicinePractitioner - General Practice 6406854694 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hope Med PSCGroup PAC ID 5294138566, 11 clinicians

Practice addresses (Care Compare)

Av Juan Ponce de Leon
Hato Rey Central
San Juan, PR 00919
Phone (787) 758-2000

Hospital & facility affiliations

  • Hospicio Luz Celeste Hospice, Caguas, PR, CCN 401576
  • Metropolitan Hospital Hospital, San Juan, PR, CCN 400106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mennonite General Hospital Inc. CurrentSince May 1, 2020 Accepting new patients
Mennonite General Hospital Inc Current Accepting new patients
Hope Med PSC Internal Medicine CurrentSince Jun 28, 2025 Accepting new patients
Mennonite General Hospital Inc CurrentSince May 1, 2020 Accepting new patients
Metrohealth, Inc. Past Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

1519 Ave Ponce de Leon
Ste 302
San Juan, PR 00909
Phone (787) 725-8101

1785 Carr 21
San Juan, PR 00921
Phone (787) 706-0981

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1033289939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "M31 CALLE WILSON",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009693950",
            "telephone_number": "787-948-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. LUIS MUNOZ MARIN",
            "address_2": "HIMA PLAZA I SUITE 312",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-961-4668",
            "fax_number": "787-961-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLEJO-BENNETT",
        "first_name": "CARLOS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "16197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.