Benjamin Medina, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

8861 Issued in PR

Practice address

25 Calle Peral N
Mayaguez, PR 00680-4820

Phone

(787) 832-3066

Fax

(787) 831-3605

NPI assigned

Dec 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bella Vista Hospital Hospital, Mayaguez, PR, CCN 400014
• Bella Vista Rehabilitation Center Inpatient rehabilitation facility, Mayaguez, PR, CCN 40T014

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Bella Vista Hospital, Inc

  • Rehabilitation Hospital Unit
  • Mayaguez, PR
  • NPI 1144538661
  NPD (past)

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

• Bella Vista Hospital Inc

  • General Acute Care Hospital
  • Mayaguez, PR
  • NPI 1083636179
  Care Compare affiliation
• Bella Vista Hospital, Inc

  • Rehabilitation Hospital Unit
  • Mayaguez, PR
  • NPI 1144538661

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1093883258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1810, PMB 753",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006811810",
            "telephone_number": "787-832-3066",
            "fax_number": "787-831-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CALLE PERAL N",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804820",
            "telephone_number": "787-832-3066",
            "fax_number": "787-831-3605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Vicente Ramos Colon # 7",
            "address_purpose": "LOCATION",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "country_code": "US",
            "telephone_number": "787-833-5858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "BENJAMIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "8861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debbie Ann Medina Gonzalez, OPTHOMETRIC, O.D.
• Kimberly Medina Morales
• Angel Medina Torres
• Cesar A Medina-Diaz, PSY.D., M.A.
• Angel Rolando Medina, MD
• Erik G Medina, M.D.
• Mara Lee Medina
• Miguel Angel Medina, NURSE
• Patricia Medina, R.D. C.D.E.
• Jose R Medrano Perez III, MD

• Internal Medicine Physician in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.