Benitez MD Supply Corp

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BENITEZ MD SUPPLY CORP

Practice address

12150 SW 128TH CT
Miami, FL 33186-4647

Phone

(786) 592-1173

NPI assigned

Oct 29, 2021

Organization subpart

No

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

Authorized official

Name

Jose R Valdez

Title

President

Phone

(786) 592-1173

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Glenda Garcia, APRN, FNP, PMHNP-BC

  • Nurse Practitioner
  • Miami, FL
  • NPI 1790387975
  NPD (past)

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1104580703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12150 SW 128TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12150 SW 128TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864647",
            "telephone_number": "786-592-1173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENITEZ MD SUPPLY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-29",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "VALDEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-592-1173"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benitez Eyecare LLC
• Daniela Paulina Benitez Gutierrez, MD
• Julio Benitez Lopez, M.D.
• Leyani Benitez Lopez
• Yuritza Benitez Lopez
• Yosvany Benitez Moreno
• Arianna Benitez Perez
• Mayren Benitez Rodriguez
• Yaneisi Benitez Ruiz, APRN
• Leidy Benitez Viera

• Durable Medical Equipment & Medical Supplies in Miami, FL
• Providers in Miami, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.