Benito Carrera Leal, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

K6819 Issued in TX

Practice address

225 E Sonterra Blvd
Suite #201
San Antonio, TX 78258-3992

Phone

(512) 797-1818

Fax

(210) 545-3455

NPI assigned

Feb 15, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Aspire Fertility Institute Houston

  • Reproductive Endocrinology Physician
  • Houston, TX
  • NPI 1922480482
  NPD (past)
• Dagoberto Martinez, Mdpa

  • Obstetrics & Gynecology Physician
  • Brownsville, TX
  • NPI 1073569059
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1467595405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6705 W HIGHWAY 290",
            "address_2": "SUITE 502-191",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358400",
            "telephone_number": "512-296-2160",
            "fax_number": "512-296-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E SONTERRA BLVD",
            "address_2": "SUITE #201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583992",
            "telephone_number": "512-797-1818",
            "fax_number": "210-545-3455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4207 James Casey St Ste 302",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787451193",
            "country_code": "US",
            "telephone_number": "512-919-4248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRERA LEAL",
        "first_name": "BENITO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "K6819",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "K6819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100540704",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Carreon, M.A. CCC-SLP
• Kevin Rodolfo Carreon, RN
• Liliana Carreon
• Rebecca Carreon, DNP, FNP, PMHNP-C
• Rosenda Nicole Carreon, LPC
• Jillian Ann Carrera
• Freddy Jose Carreras Alvarado, M.D.
• Carlos R Carretero, M.D.
• Edgar Heberto Carretero, M.D.
• Juan Luis Carriedo, BS CNMT

• Obstetrics & Gynecology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.