Jorge Benitez, APRN
Individual provider Active NPI Family Nurse Practitioner · Wilton Manors, FL
NPI 1629619796 · NPPES record last updated Jul 30, 2024
Key facts
- NPI
- 1629619796
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 11003538 (FL)
- Practice address
- 2097 Wilton Dr
Wilton Manors, FL 33305-2121 - Phone
- (877) 259-8727
- NPI assigned
- Sep 30, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- AIDS Healthcare Foundation
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200311000429 | FL | Practitioner - Nurse Practitioner | 2466536131 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11003538 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| AIDS Healthcare Foundation | Current |
Accepting new patients | |
| Abg Professional Health Services Inc. | Current | Accepting new patients | |
| AIDS Healthcare Foundation | Current | Accepting new patients | |
| AIDS Healthcare Foundation | Current |
Accepting new patients | |
| Guidewell Sanitas I, LLC | 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@wwmp.eclinicaldirectplus.com
- jorge.benitez.1@26356.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11003538 | FL | Yes |
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
Other providers in Wilton Manors, FL
- Barry S Weinberg, DC, PA
- Jennifer Christy Bartczak
- Sarah Victoria Bartley
- Jeffrey Michael Bartnick
- Victoria Baskin
- Laurie Berkowitz
- Vladimir Jacob Bernstein
- Brianna Bertrand
- Bill Bracker, PSYD, LLC
- Bioscrip Pharmacy, Inc.
All providers in Wilton Manors, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.