NPIMap

Individual provider Active NPI

Arelis Benitez-Quinones, MD

  • Primary Care Clinic/Center
  • Wanblee, SD
National Provider Identifier
1275635500
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Practice address
210 1St Street
Wanblee, SD 57577
Phone
(605) 462-5650
Fax
(605) 462-6631
NPI assigned
Sep 5, 2006
Last updated
Mar 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary
General Practice Physician 208D00000X 15481 PR

Addresses

Primary practice location

210 1St Street
Wanblee, SD 57577

Mailing address

210 1St Street, P.O. Box 290
Wanblee, SD 57577
Phone (605) 462-5650

Other identifiers 3

IdentifierTypeStateIssuer
PHS000OtherUPIN
15481OtherPRLICENSE
5540040MedicaidSD

Other names 1

  • Arelis Benitez Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130205000220 PR Practitioner - General Practice 0648424333 Reassigns benefits to 2 organizations
I20161215000039 TX Practitioner - General Practice 0648424333 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pine Ridge Indian Health Service HospitalGroup PAC ID 4688654130, 8 clinicians

Practice addresses (Care Compare)

210 E 1St St
Wanblee, SD 57577-0290
Phone (605) 462-6155

East Hwy 18
Pine Ridge, SD 57770-1201
Phone (605) 867-3032

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Ridge Indian Health Service Hospital CurrentSince Aug 25, 2020 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince May 10, 2022 Accepting new patients
Grupo de Empresas de Salud de San Juan, Inc CurrentSince Nov 29, 2012 Accepting new patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Aug 25, 2020 Accepting new patients
Grupo de Empresas de Salud de San Juan, Inc CurrentSince Nov 29, 2012 Accepting new patients
Physician H.M.O. Inc. CurrentSince Feb 29, 2016 Accepting new patients

Locations

107 Calle Padre Las Casas
San Juan, PR 00918
Phone (787) 294-7801

119 S 1st Ave
Martin, SD 57551
Phone (605) 685-2800

Organizations & group practices 8

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1275635500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 1ST STREET, P.O. BOX 290",
            "city": "WANBLEE",
            "state": "SD",
            "postal_code": "57577",
            "telephone_number": "605-462-5650",
            "fax_number": "605-462-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 1ST STREET",
            "city": "WANBLEE",
            "state": "SD",
            "postal_code": "57577",
            "telephone_number": "605-462-5650",
            "fax_number": "605-462-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENITEZ-QUINONES",
        "first_name": "ARELIS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15481",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "PHS000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "15481",
            "state": "PR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5540040",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARELIS",
            "last_name": "BENITEZ",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wanblee, SD

Sources for this page

Verify at the official NPI Registry.