Individual provider Active NPI

Benny Nieves-Matias, M.D.

  • General Practice Physician
  • Guaynabo, PR
National Provider Identifier
1669874681
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
18893 Issued in PR
Practice address
Carr. 199, KM 1.2
Guaynabo, PR 00969
Phone
(787) 740-8787
NPI assigned
Sep 22, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 18893 PR Primary

Addresses

Primary practice location

Carr. 199, KM 1.2
Guaynabo, PR 00969

Mailing address

#1757 Lopez Landron St.
Urb Stgo. Iglesias
San Juan, PR 00921
Phone (787) 234-8235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141105000219 PR Practitioner - General Practice 0143442244 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Ponce School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1757 Lopez Landron St
San Juan, PR 00921
Phone (787) 234-8235

Hospital & facility affiliations

  • Hospital Menonita Humacao, Inc Hospital, Humacao, PR, CCN 400011

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Medico del Turabo Inc CurrentSince Sep 1, 2020 Accepting new patients
Centro Medico del Turabo Inc General Practice Current Accepting new patients
BNM Medical Services PSC CurrentSince Feb 8, 2023 Accepting new patients
Bella Vista Hospital Inc CurrentSince Sep 1, 2020 Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1669874681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#1757 LOPEZ LANDRON ST.",
            "address_2": "URB STGO. IGLESIAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-234-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 199, KM 1.2",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-740-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES-MATIAS",
        "first_name": "BENNY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-22",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.