Active NPI
Oscar Jesus Benitez, MD
- Neurology Physician
- San Juan, PR
National Provider Identifier
1215920863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 4302
- Practice address
- U3-1 Carr 21
Urb. Las Lomas
San Juan, PR 00921-3313 - Phone
- (787) 783-8081
- Fax
- (787) 783-4235
- NPI assigned
- Aug 30, 2005
- Last updated
- Mar 3, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 4302 | PR | Primary |
Addresses
Primary practice location
U3-1 Carr 21
Urb. Las Lomas
San Juan, PR 00921-3313
Mailing address
PO Box 7891
PMB 475
Guaynabo, PR 00970-7891
Phone (787) 783-8081
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 217049 | Other | PR | UTI PREFERRED HEALTH |
| 9260005 | Other | PR | PCA INSURANCE GROUP |
| 063860 | Other | PR | CRUZ AZUL |
| 4302 | Other | PR | HOFFA HEALTH CARE |
| 96019BE | Other | PR | SSS |
| SE3182 | Other | PA | PALIC |
| 34302 | Other | PR | CIGNA |
| 4604302 | Other | PR | UIA |
| N964 | Other | PR | INTERNATIONAL MED CARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4302 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330732800000",
"number": "1215920863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7891",
"address_2": "PMB 475",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009707891",
"telephone_number": "787-783-8081",
"fax_number": "787-783-4235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "U3-1 CARR 21",
"address_2": "URB. LAS LOMAS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009213313",
"telephone_number": "787-783-8081",
"fax_number": "787-783-4235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENITEZ",
"first_name": "OSCAR",
"middle_name": "JESUS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-30",
"last_updated": "2012-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PR",
"license": "4302",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UTI PREFERRED HEALTH",
"identifier": "217049",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PCA INSURANCE GROUP",
"identifier": "9260005",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRUZ AZUL",
"identifier": "063860",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOFFA HEALTH CARE",
"identifier": "4302",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SSS",
"identifier": "96019BE",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALIC",
"identifier": "SE3182",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "34302",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UIA",
"identifier": "4604302",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERNATIONAL MED CARD",
"identifier": "N964",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.