Individual provider Active NPI

Benyvette Aldarondo Rosado

  • General Practice Physician
  • Isabela, PR
National Provider Identifier
1295467199
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22839 Issued in PR
Practice address
4850 Ave Militar
Isabela, PR 00662-6108
Phone
(787) 567-6028
NPI assigned
Jun 29, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 22839 PR Primary

Addresses

Primary practice location

4850 Ave Militar
Isabela, PR 00662-6108

Mailing address

State Road 129 KM 25.4
Lares, PR 00669-0761
Phone (787) 567-6028

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220920003033 PR Practitioner - General Practice 9436377090 Reassigns benefits to 1 organization
Practice locations: Hatillo, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22839PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aldarondo Medical Services, LLC General Practice CurrentSince May 11, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1295467199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STATE ROAD 129 KM 25.4",
            "city": "LARES",
            "state": "PR",
            "postal_code": "006690761",
            "telephone_number": "787-567-6028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 AVE MILITAR",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006626108",
            "telephone_number": "787-567-6028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDARONDO ROSADO",
        "first_name": "BENYVETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Isabela, PR

Sources for this page

Verify at the official NPI Registry.