Juan Carlos Rodriguez-Benitez

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

2125 S 61St St
Temple, TX 76504-6823

Phone

(254) 314-8580

Fax

(254) 774-9980

NPI assigned

Jun 30, 2022

Last updated

Jun 30, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Pyra Med Health Services, LLC

  dba Aveanna Healthcare

  • Home Health Agency
  • Temple, TX
  • NPI 1346480902
  NPD

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1558093187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 SPRING VALLEY RD STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752542512",
            "telephone_number": "214-466-1340",
            "fax_number": "214-466-1378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 S 61ST ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765046823",
            "telephone_number": "254-314-8580",
            "fax_number": "254-774-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ-BENITEZ",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rockdale Blackhawk, LLC (Little River Healthcare - Temple Surgery Center)
• Brent Rocke, M.D.
• Samantha Mae Rockholt
• James Richard Rodgers, PHD
• Bailey Shepherd Rodich, MD
• Amy Annette Rodriguez, RDA
• Brandi Rhea Rodriguez
• Ernswell Rodriguez, DPT
• Jessica Christine Tadeo Rodriguez, OTR/L
• Joaquin A. Rodriguez, M.D.

• Speech-Language Pathologist in Temple, TX
• Providers in Temple, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.