Ruben Taguiam Benito, M.D.

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

4301096806 Issued in MI

Practice address

430 Mack Ave
Suite B
Detroit, MI 48201

Phone

(313) 831-5913

Fax

(313) 831-5991

NPI assigned

Apr 1, 2008

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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.

• Embrace Home Health Physicians

  • Family Medicine Physician
  • Southfield, MI
  • NPI 1598779282
  NPD (past)
• Embrace Home Physicians PLLC

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1548704778
  NPD (past)

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288742400000",
    "number": "1205008125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 EAST THIRTEEN MILE ROAD",
            "address_2": "APT 206",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "48071",
            "telephone_number": "540-272-9732",
            "fax_number": "313-831-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 MACK AVE",
            "address_2": "SUITE B",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48201",
            "telephone_number": "313-831-5913",
            "fax_number": "313-831-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENITO",
        "first_name": "RUBEN",
        "middle_name": "TAGUIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-01",
        "last_updated": "2010-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "MI",
            "license": "4301096806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bengal Enterprise Detroit LLC
• Amina Benguedouar
• Richard Michael Benian, D.D.S
• Benita Nicole-Hazel Jones Trust
• Benita Nicole-Hazel Jones Trust
• Joseph Safar Benjamin, MD
• Kendra Paige Benjamin, RN
• Krystal Benjamin, LPN
• Krystal Lynnise Benjamin, B.S.
• Shelley Benjamin

• Legal Medicine in Detroit, MI
• Providers in Detroit, MI by specialty
• Legal Medicine in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.