Alexander Enrique Benitez Rodriguez, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

21762 Issued in PR

Practice address

Carr 124 KM 0.1
Las Marias, PR 00670

Phone

(787) 827-8177

Fax

(787) 827-8178

NPI assigned

Jun 18, 2020

Last updated

Aug 30, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Centro de Salud de Lares, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lares, PR
  • NPI 1417907502
  Medicare reassignment NPD
• Centro de Salud de Lares, Inc

  dba Farmacia Centro de Salud de Lares, Inc

  • Community/Retail Pharmacy
  • Lares, PR
  • NPI 1093544132
  NPD
• Bella Vista Hospital Inc

  • General Acute Care Hospital
  • Mayaguez, PR
  • NPI 1083636179
  NPD (past)
• Mayaguez Medical Center - San Antonio Inc

  dba Mayaguez Medical Center San Antonio

  • General Acute Care Hospital
  • Mayaguez, PR
  • NPI 1326835703
  NPD (past)

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1255957908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 11468",
            "city": "LAS MARIAS",
            "state": "PR",
            "postal_code": "006709003",
            "telephone_number": "939-349-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 124 KM 0.1",
            "city": "LAS MARIAS",
            "state": "PR",
            "postal_code": "00670",
            "telephone_number": "787-827-8177",
            "fax_number": "787-827-8178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENITEZ RODRIGUEZ",
        "first_name": "ALEXANDER",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-18",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "21762",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21762",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Alexandra Alers Rivera
• Nomaris Aponte, MSW
• Arng
• Ayala Orta Medical Service PSC
• Luz Ileana Bartolomei Rodriguez, M.D.
• CDT Las Marias Medical Center LLC
• Corporacion de Salud Mariena, Inc.
• Yarellys Enid Crespo
• Victor Cuevas
• Glenda L Dominicci Camacho

• Family Medicine Physician in Las Marias, PR
• Providers in Las Marias, PR by specialty
• Family Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.