Active NPI
Benjamin Perez Febles, D.D.S.
- General Practice Dentistry
- Mayaguez, PR
National Provider Identifier
1053527374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2732
- Practice address
- 55 Calle Dr Basora N
Office # 105, Medico IV
Mayaguez, PR 00680-4810 - Phone
- (787) 834-3863
- Fax
- (787) 805-5440
- NPI assigned
- May 15, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2732 | PR | Primary |
Addresses
Primary practice location
55 Calle Dr Basora N
Office # 105, Medico IV
Mayaguez, PR 00680-4810
Mailing address
55 Calle Dr Basora N
Office # 105, Medico IV
Mayaguez, PR 00680-4810
Phone (787) 834-3863
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180621002645 | PR | Order and Referring Only - Dentist | 2567717101 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2732 | PR | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smiles of Beauty Dental Group, P.S.C. | General Practice | 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.
-
- General Practice Dentistry
- Mayaguez, PR
- NPI 1265613616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053527374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 CALLE DR BASORA N",
"address_2": "OFFICE # 105, MEDICO IV",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006804810",
"telephone_number": "787-834-3863",
"fax_number": "787-805-5440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 CALLE DR BASORA N",
"address_2": "OFFICE # 105, MEDICO IV",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006804810",
"telephone_number": "787-834-3863",
"fax_number": "787-805-5440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ FEBLES",
"first_name": "BENJAMIN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PR",
"license": "2732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mayaguez, PR
- Alfredo Perez Canabal, MD
- Sheila Maria Perez Canals, MD
- Jessica Marie Perez Caraballo, MD, MHA
- Carlos Perez Cardona, M.D.
- Gloria Isabel Perez Cruz, B.S., MSPT
- Jose Perez Fernandez, MD
- Jose A Perez Hernandez Sr., MD
- Omar Javier Perez Jimenez, M.D.
- Luis R. Perez Laguillo, M.D.
- Jose Carlos Perez Lopez, M.D.
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.