Individual provider Active NPI

Dulce Rosario Benavides, NP

  • Gerontology Nurse Practitioner
  • Edinburg, TX
National Provider Identifier
1366129454
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1126997 Issued in TX
Practice address
1102 W Trenton Rd
Edinburg, TX 78539-9105
Phone
(956) 388-6000
NPI assigned
Jun 29, 2023
Last updated
Jun 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1126997 TX Primary

Addresses

Primary practice location

1102 W Trenton Rd
Edinburg, TX 78539-9105

Mailing address

1307 Sherwood Dr
Mission, TX 78572-9556
Phone (956) 929-2266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240415002232 TX Practitioner - Nurse Practitioner 0345689071 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rio Valley Emergency Physician Associates PLLC CurrentSince Mar 11, 2024 Accepting new patients
Emergency Physicians of South Texas PLLC CurrentSince May 1, 2024 Accepting new patients
Knapp Medical Group CurrentSince Sep 13, 2024 Accepting new patients
Renaissance Emergency Physicians,PA CurrentSince Dec 1, 2024 Accepting new patients

Locations

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300

5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481

2810 W Expressway 83
Mercedes, TX 78570
Phone (956) 296-1831

1315 E 6th St
Ste 6
Weslaco, TX 78596
Phone (956) 351-5949

1401 E 8th St
Weslaco, TX 78596
Phone (956) 581-0303

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1366129454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 SHERWOOD DR",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785729556",
            "telephone_number": "956-929-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 W TRENTON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399105",
            "telephone_number": "956-388-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENAVIDES",
        "first_name": "DULCE",
        "middle_name": "ROSARIO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1126997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.