Individual provider Active NPI

Marta Ivette Rios Benitez, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Ponce, PR
National Provider Identifier
1053401570
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
8790 Issued in PR
Practice address
Edf Porrata Pila
2431 Blvd Luis a Ferrer Ste 302
Ponce, PR 00717
Phone
(787) 813-6658
Fax
(787) 813-6688
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 8790 PR Primary

Addresses

Primary practice location

Edf Porrata Pila
2431 Blvd Luis a Ferrer Ste 302
Ponce, PR 00717

Mailing address

Edf Porrata Pila
2431 Blvd Luis a Ferrer Ste 302
Ponce, PR 00717
Phone (787) 813-6658

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
I20031204000898 PR Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 4587569306 Practice locations: Ponce, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists)
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2431 Blvd Luis a Ferre
Suite 302
Ponce, PR 00717-2116
Phone (787) 813-6658

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8790PRMDCritical Care Medicine (Internal Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1053401570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EDF PORRATA PILA",
            "address_2": "2431 BLVD LUIS A FERRER STE 302",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00717",
            "telephone_number": "787-813-6658",
            "fax_number": "787-813-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDF PORRATA PILA",
            "address_2": "2431 BLVD LUIS A FERRER STE 302",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00717",
            "telephone_number": "787-813-6658",
            "fax_number": "787-813-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIOS BENITEZ",
        "first_name": "MARTA IVETTE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PR",
            "license": "8790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.