Rhina Elizabeth Benavides Martinez, MD
Individual provider Active NPI General Practice Physician · Hatillo, PR
NPI 1528077484 · NPPES record last updated Jun 5, 2017
Key facts
- NPI
- 1528077484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 15,109 (PR)
- Practice address
- 116 Ave Dr Susoni
Hatillo, PR 00659-1847 - Phone
- (787) 898-4190
- Fax
- (787) 262-3984
- NPI assigned
- Aug 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- General Practice
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Corporacion Servicios Medicos Primarios Y Prevencion de Hatillo
Practice addresses (Care Compare)
Avenida Dr Susoni
Suite 121
Hatillo, PR 00659
Phone 7878984190406
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060123000613 | PR | Practitioner - General Practice | 5698799211 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15,109 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corporacion Servicios Medicos Primarios Y Prevencion de Hatillo | General Practice | Current |
Accepting new patients |
| Corporacion de Servicios Medicos Primarios Y Prevencion de Hatillo | Past | Accepting new patients |
Locations
121 Ave Dr Susoni
Hatillo, PR 00659
Phone (787) 314-5291
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 15,109 | PR | Yes |
Addresses
Primary practice location
116 Ave Dr Susoni
Hatillo, PR 00659-1847
Mailing address
PO Box 907
Hatillo, PR 00659-0907
Phone (787) 898-4190
Other providers in Hatillo, PR
- Zenaida Batiste
- Bayaney Xray
- Believe Medical Equipment Corp
- Pedro J Bello Gonzalez
- Valeria Bello I
- Best Life Care LLC
- Angel E Betancourt
- Jose Manuel Betancourt
- Better Life Medical Equipment & Supply Inc.
- Marlene Jissell Birriel
All providers in Hatillo, PR · General Practice Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.