Individual provider Active NPI

Yanira Benitez Ortiz, MD

  • Allergy & Immunology Physician
  • San Juan, PR
National Provider Identifier
1548676596
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
13542 Issued in PR
Practice address
1728 Calle Segre
Urb. Rio Piedras Heights
San Juan, PR 00926
Phone
(393) 367-4769
Fax
(939) 336-7475
NPI assigned
Jul 9, 2014
Last updated
Aug 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 13542 PR
Student in an Organized Health Care Education/Training Program 390200000X 19679 PR
Allergy & Immunology Physician 207K00000X 13542 PR Primary

Addresses

Primary practice location

1728 Calle Segre
Urb. Rio Piedras Heights
San Juan, PR 00926

Mailing address

PO Box 9545
Caguas, PR 00726-9545
Phone (939) 336-7476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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

Enrollment IDStateProvider typePAC IDDetails
I20211005003697 PR Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 2163820176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
Education
San Juan Bautista School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1728 Calle Segre
Urb. Rio Piedras Heights
San Juan, PR 00926
Phone (939) 336-7476

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
JSL Medical Services, LLC CurrentSince Aug 8, 2021 Accepting new patients
Centro de Alergia E Inmunologia LLC Allergy & Immunology CurrentSince Aug 1, 2021 Accepting new patients

Locations

1728 Calle Segre
San Juan, PR 00926
Phone (787) 759-6064

Organizations & group practices 2

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": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1548676596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9545",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007269545",
            "telephone_number": "939-336-7476",
            "fax_number": "939-336-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 CALLE SEGRE",
            "address_2": "URB. RIO PIEDRAS HEIGHTS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "393-367-4769",
            "fax_number": "939-336-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENITEZ ORTIZ",
        "first_name": "YANIRA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-09",
        "last_updated": "2021-08-05",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "13542",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "19679",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "PR",
            "license": "13542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.