Active NPI
Jorge Benitez, APRN
- Family Nurse Practitioner
- Wilton Manors, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11003538
- Practice address
- 2097 Wilton Dr
Wilton Manors, FL 33305-2121 - Phone
- (877) 259-8727
- NPI assigned
- Sep 30, 2019
- Last updated
- Jul 30, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11003538 | FL | Primary |
Addresses
Primary practice location
2097 Wilton Dr
Wilton Manors, FL 33305-2121
Mailing address
6255 W Sunset Blvd FL 21
Los Angeles, CA 90028-7422
Phone (323) 860-5200
Other practice location 1
2833 NW 68th Ln
Margate, FL 33063-2041
Phone (786) 715-6293
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2097 Wilton Dr
Wilton Manors, FL 33305-2121
Phone (877) 259-8727
3135 State Rd
Suite 1
Safety Harbor, FL 34695-4917
Phone (727) 725-9931
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11003538 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abg Professional Health Services Inc. | Current | Accepting new patients | |
| Guidewell Sanitas I, LLC | Current | Accepting new patients | |
| AIDS Healthcare Foundation | Current | Accepting new patients | |
| AIDS Healthcare Foundation | Current | Accepting new patients | |
| AIDS Healthcare Foundation | Current | Accepting new patients |
Locations
6255 W Sunset Blvd
Fl 21
Los Angeles, CA 90028
Phone (323) 860-5200
8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869
180 SW 84th Ave
Plantation, FL 33324
Phone (954) 271-2855
3135 State Road 580
Ste 1
Safety Harbor, FL 34695
Phone (727) 259-2000
3617 W Hillsborough Ave
Tampa, FL 33614
Phone (813) 675-2020
2097 Wilton Dr
Wilton Manors, FL 33305
Phone (877) 259-8727
Interoperability endpoints
- jorge.benitez.1@26356.direct.athenahealth.com
- jorge.benitez@wwmp.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
dba Ahf
- Health Service Clinic/Center
- North Miami Beach, FL
- NPI 1427218874
-
- Home Health Agency
- Miami, FL
- NPI 1386831162
-
dba AHF Pharmacy
- Community/Retail Pharmacy
- Baton Rouge, LA
- NPI 1891525184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1629619796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6255 W SUNSET BLVD FL 21",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900287422",
"telephone_number": "323-860-5200",
"fax_number": "323-467-7119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2097 WILTON DR",
"city": "WILTON MANORS",
"state": "FL",
"postal_code": "333052121",
"telephone_number": "877-259-8727"
}
],
"practiceLocations": [
{
"address_1": "2833 NW 68th Ln",
"address_purpose": "LOCATION",
"city": "Margate",
"state": "FL",
"postal_code": "330632041",
"country_code": "US",
"telephone_number": "786-715-6293",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENITEZ",
"first_name": "JORGE",
"name_prefix": "Mr.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-30",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11003538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilton Manors, FL
- Barry S Weinberg, DC, PA (A Place for Healing)
- Jennifer Christy Bartczak, M.D.
- Sarah Victoria Bartley, LCSW
- Jeffrey Michael Bartnick, DDS
- Victoria Baskin, M.D.
- Laurie Berkowitz
- Vladimir Jacob Bernstein, LIC. PED.
- Brianna Bertrand, CRDH
- Bill Bracker, PSYD, LLC
- Bioscrip Pharmacy, Inc. (BioScrip Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.