Active NPI
State of the Art Plastic Surgery
- Plastic Surgery Physician
- Guaynabo, PR
National Provider Identifier
1093125338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 12277
- Legal business name
- STATE OF THE ART PLASTIC SURGERY
- Practice address
- Ave San Patricio # 101
Suite 850
Guaynabo, PR 00968-4459 - Phone
- (787) 620-4070
- NPI assigned
- May 7, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Karim Benitez, MD
- Title
- President
- Phone
- (787) 620-4070
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 12277 | PR | Primary |
Addresses
Primary practice location
Ave San Patricio # 101
Suite 850
Guaynabo, PR 00968-4459
Mailing address
Ave San Patricio # 101
Suite 850
Guaynabo, PR 00968-4459
Phone (787) 620-4070
National Provider Directory
National Provider Directory- Tax ID family
- State of the Art Plastic Surgery
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Guaynabo, PR
- NPI 1821216250
Locations
101 Ave San Patricio
Ste 850
Guaynabo, PR 00968
Phone (787) 620-4070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1400198400000",
"number": "1093125338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "AVE SAN PATRICIO # 101",
"address_2": "SUITE 850",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009684459",
"telephone_number": "787-620-4070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE SAN PATRICIO # 101",
"address_2": "SUITE 850",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009684459",
"telephone_number": "787-620-4070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STATE OF THE ART PLASTIC SURGERY",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-07",
"last_updated": "2014-05-16",
"status": "A",
"authorized_official_last_name": "BENITEZ",
"authorized_official_first_name": "KARIM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-620-4070",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "PR",
"license": "12277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.