Active NPI
Elina Benedetty, MSW
- Clinical Social Worker
- Mayaguez, PR
National Provider Identifier
1073847604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8664
- Practice address
- 106 Calle Juan Marin
Mayaguez, PR 00680-3717 - Phone
- (787) 405-0929
- NPI assigned
- Sep 29, 2009
- Last updated
- Sep 29, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 8664 | PR | Primary |
Addresses
Primary practice location
106 Calle Juan Marin
Mayaguez, PR 00680-3717
Mailing address
PO Box 3305
Aguadilla, PR 00605-3305
Phone (787) 405-0929
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8664 | PR | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254182400000",
"number": "1073847604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3305",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "006053305",
"telephone_number": "787-405-0929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 CALLE JUAN MARIN",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006803717",
"telephone_number": "787-405-0929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENEDETTY",
"first_name": "ELINA",
"name_prefix": "Miss",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-29",
"last_updated": "2009-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "8664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mayaguez, PR
- Bella Vista Hospital, Inc.
- Bella Vista Policlinic Inc (Policlinic Radiology Department)
- Bella Vista Policlinic, Inc
- Bella Vista Policlinic, Inc (Bella Vista ENT Group)
- Harry Herbert Benavent, D.D.S.
- Manuel Benitez Corujo, M.D.
- Wanda I Benitez Lopez, MD
- Carlos Andres Benitez, MD
- Noemi Benitez, M.D.
- Dayanara Berrios Viana, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.