Individual provider Active NPI

Susan Vento Benenati, MD

  • Allergy & Immunology (Internal Medicine) Physician
  • Coral Gables, FL
National Provider Identifier
1487684916
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
ME57528 Issued in FL
Practice address
6705 SW 57TH Ave
Suite 318
Coral Gables, FL 33143-3638
Phone
(305) 665-1623
Fax
(305) 666-9176
NPI assigned
Jul 3, 2006
Last updated
Mar 9, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) Physician 207RA0201X ME57528 FL Primary

Addresses

Primary practice location

6705 SW 57TH Ave
Suite 318
Coral Gables, FL 33143-3638

Mailing address

6705 SW 57TH Ave
Suite 318
Coral Gables, FL 33143-3638
Phone (305) 665-1623

Other identifiers 4

IdentifierTypeStateIssuer
003GYOtherFLPREFERRED CARE PARTNERS
11654OtherFLBCBS
3270549-003OtherFLCIGNA
001872BAPTOtherFLNHP

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)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299628800000",
    "number": "1487684916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6705 SW 57TH AVE",
            "address_2": "SUITE 318",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331433638",
            "telephone_number": "305-665-1623",
            "fax_number": "305-666-9176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6705 SW 57TH AVE",
            "address_2": "SUITE 318",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331433638",
            "telephone_number": "305-665-1623",
            "fax_number": "305-666-9176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENENATI",
        "first_name": "SUSAN",
        "middle_name": "VENTO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2011-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "FL",
            "license": "ME57528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE PARTNERS",
            "identifier": "003GY",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "11654",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3270549-003",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "001872BAPT",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.