Active NPI
Omar Benitez Grueiro
- Student in an Organized Health Care Education/Training Program
- Ocala, FL
National Provider Identifier
1528958808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1500 SW 1St Ave
Ocala, FL 34471-6504 - Phone
- (352) 351-7200
- NPI assigned
- Jul 8, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 9462483 | FL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1500 SW 1St Ave
Ocala, FL 34471-6504
Mailing address
8412 SW 163Rd CT
Miami, FL 33193-5145
Phone (786) 930-5983
Other practice location 1
11300 NE 2nd Ave
Miami, FL 33161-6695
Phone (800) 756-6000 ext. 3379
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9462483 | FL | MD | Critical Care Medicine Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752364800000",
"number": "1528958808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8412 SW 163RD CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331935145",
"telephone_number": "786-930-5983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 SW 1ST AVE",
"city": "OCALA",
"state": "FL",
"postal_code": "344716504",
"telephone_number": "352-351-7200"
}
],
"practiceLocations": [
{
"address_1": "11300 NE 2nd Ave",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331616695",
"country_code": "US",
"telephone_number": "800-756-6000 x3379",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENITEZ GRUEIRO",
"first_name": "OMAR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-07-08",
"last_updated": "2025-07-13",
"certification_date": "2025-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "FL",
"license": "9462483",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.