Active NPI
Maria C Benitez, M.D.
- Internal Medicine Physician
- Carolina, PR
National Provider Identifier
1629047428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 6555
- Practice address
- Carolina Shopping Court Ave.65 Infantry
Suite 11
Carolina, PR 00987 - Phone
- (787) 757-6900
- Fax
- (787) 768-4800
- NPI assigned
- Mar 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 6555 | PR | Primary |
Addresses
Primary practice location
Carolina Shopping Court Ave.65 Infantry
Suite 11
Carolina, PR 00987
Mailing address
PO Box 13028
San Juan, PR 00908-3028
Phone (787) 757-6900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6555 | Other | PR | STATE LICENSE |
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": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287446400000",
"number": "1629047428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13028",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009083028",
"telephone_number": "787-757-6900",
"fax_number": "787-768-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CAROLINA SHOPPING COURT AVE.65 INFANTRY",
"address_2": "SUITE 11",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00987",
"telephone_number": "787-757-6900",
"fax_number": "787-768-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENITEZ",
"first_name": "MARIA",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-15",
"last_updated": "2010-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "6555",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "6555",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.