Individual provider Active NPI

Alexandra Ana Benitez Lara

  • Psychiatric/Mental Health Nurse Practitioner
  • Palmetto Bay, FL
National Provider Identifier
1477483246
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11047722 Issued in FL
Practice address
14707 S Dixie Hwy Ste 201
Palmetto Bay, FL 33176-7950
Phone
(786) 250-3475
Fax
(786) 364-7348
NPI assigned
May 21, 2026
Last updated
May 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11047722 FL Primary

Addresses

Primary practice location

14707 S Dixie Hwy Ste 201
Palmetto Bay, FL 33176-7950

Mailing address

12015 SW 14TH St Apt 304
Miami, FL 33184-2474
Phone (786) 718-7175

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11047722FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dominguez Baute Corp Psychiatric/Mental Health CurrentSince Aug 12, 2026 Accepting new patients

Locations

14707 S Dixie Hwy
Ste 201
Palmetto Bay, FL 33176
Phone (786) 250-2475

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, 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": "1779321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1477483246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12015 SW 14TH ST APT 304",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331842474",
            "telephone_number": "786-718-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14707 S DIXIE HWY STE 201",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331767950",
            "telephone_number": "786-250-3475",
            "fax_number": "786-364-7348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENITEZ LARA",
        "first_name": "ALEXANDRA",
        "middle_name": "ANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-21",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11047722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

Verify at the official NPI Registry.