Active NPI
Camila Benatar Pineda
- Physician Assistant
- Hialeah, FL
National Provider Identifier
1639703440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9115010
- Practice address
- 2140 W 68TH St Ste 200
Hialeah, FL 33016-1815 - Phone
- (305) 822-7227
- Fax
- (305) 827-6333
- NPI assigned
- Mar 2, 2020
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9115010 | FL | Primary |
Addresses
Primary practice location
2140 W 68TH St Ste 200
Hialeah, FL 33016-1815
Mailing address
2140 W 68TH St Ste 200
Hialeah, FL 33016-1815
Phone (305) 822-7227
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220202002773 | FL | Order and Referring Only - Physician Assistant | 5799178380 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- camila.benatar.p1@direct.besturology.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643587200000",
"number": "1639703440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2140 W 68TH ST STE 200",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330161815",
"telephone_number": "305-822-7227",
"fax_number": "305-827-6333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2140 W 68TH ST STE 200",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330161815",
"telephone_number": "305-822-7227",
"fax_number": "305-827-6333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENATAR PINEDA",
"first_name": "CAMILA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-02",
"last_updated": "2022-01-31",
"certification_date": "2022-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9115010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.