NPIMap

Organization Active NPI

Benabe Visual Clinic

  • Clinic/Center
  • Bayamon, PR
National Provider Identifier
1114648128
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BENABE VISUAL CLINIC
Practice address
12-30 Boulevard Dr # Drivec
Bayamon, PR 00959-6656
Phone
(787) 637-1464
NPI assigned
Sep 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Authorized official

Name
Carmen Benabe, ODNPI 1023344843
Title
Owner
Phone
(787) 637-1464

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

12-30 Boulevard Dr # Drivec
Bayamon, PR 00959-6656

Mailing address

PO Box 194483
San Juan, PR 00919-4483

Other names 1

  • BENABEVISUALCLINIC Former legal business name

National Provider Directory

National Provider Directory

Locations

12-30 Boulevard Dr
Bayamon, PR 00959
Phone (787) 637-1464

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1114648128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 194483",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009194483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12-30 BOULEVARD DR # DRIVEC",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009596656",
            "telephone_number": "787-637-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENABE VISUAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "BENABE",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-637-1464",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BENABEVISUALCLINIC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.