Individual provider Active NPI

Hector Negron-Benejam, BSN-27469

  • General Practice Registered Nurse
  • Isabela, PR
National Provider Identifier
1457109381
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
27469 Issued in PR
Practice address
Urb Costa Brava
Calle Ambar 108
Isabela, PR 00662
Phone
(939) 969-3116
NPI assigned
May 7, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 27469 PR
Infusion Therapy Registered Nurse 163WI0500X 27469 PR
General Practice Registered Nurse 163WG0000X 27469 PR Primary

Addresses

Primary practice location

Urb Costa Brava
Calle Ambar 108
Isabela, PR 00662

Mailing address

Urb Costa Brava
Calle Ambar 108
Isabela, PR 00662
Phone (939) 969-3116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
27469PRMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Servicio Voluntario Emergencia CurrentSince May 12, 2024 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": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1457109381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB COSTA BRAVA",
            "address_2": "CALLE AMBAR 108",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "00662",
            "telephone_number": "939-969-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB COSTA BRAVA",
            "address_2": "CALLE AMBAR 108",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "00662",
            "telephone_number": "939-969-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGRON-BENEJAM",
        "first_name": "HECTOR",
        "credential": "BSN-27469",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "PR",
            "license": "27469",
            "primary": false
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "PR",
            "license": "27469",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "PR",
            "license": "27469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Isabela, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.