NPIMap

Organization Active NPI

Adolfo Benitez, MD, PA

Doing business as Family Medicine and Skin Care Center

  • Family Medicine Physician
  • El Paso, TX
National Provider Identifier
1447567193
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N7523 Issued in TX
Legal business name
ADOLFO BENITEZ, MD, PA
Doing business as
Family Medicine and Skin Care Center
Practice address
3570 Rich Beem
Ste a
El Paso, TX 79938-7993
Phone
(915) 504-6900
Fax
(915) 856-1612
NPI assigned
Sep 1, 2010
Last updated
May 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Authorized official

Name
Dr. Adolfo Leon Benitez, MDNPI 1528268166
Title
Director
Phone
(915) 504-6900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X N7523 TX Primary

Addresses

Primary practice location

3570 Rich Beem
Ste a
El Paso, TX 79938-7993

Mailing address

3570 Rich Beem
Suite a
El Paso, TX 79938-3331
Phone (915) 504-6900

Other names 1

  • Family Medicine and Skin Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101210000451 TX Part B Supplier - Clinic/Group Practice 9830386200 Receives reassigned benefits from 3 practitioners
Practice locations: El Paso, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2018781Family Medicine and Skin Care3570 Rich Beem Suite a, El Paso, TX 79938Provider-performed microscopyJan 12, 2027

National Provider Directory

National Provider Directory

Locations

3570 Rich Beem
Ste A
El Paso, TX 79938
Phone (915) 504-6900

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683244800000",
    "number": "1447567193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 RICH BEEM",
            "address_2": "SUITE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799383331",
            "telephone_number": "915-504-6900",
            "fax_number": "915-856-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 RICH BEEM",
            "address_2": "STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799387993",
            "telephone_number": "915-504-6900",
            "fax_number": "915-856-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADOLFO BENITEZ, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-01",
        "last_updated": "2023-05-05",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "BENITEZ",
        "authorized_official_first_name": "ADOLFO",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "915-504-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N7523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medicine and Skin Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Medicine and Skin Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.