Oliva E Benmaman, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

7309 Issued in PR

Practice address

525 Roosevelt Ave
La Torre de Plaza Suite 801
San Juan, PR 00918

Phone

(787) 281-0784

Fax

(787) 764-9482

NPI assigned

Dec 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Dermatology

Education

University of Puerto Rico School of Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Dermgroup LLC

  • MOHS-Micrographic Surgery Physician
  • San Juan, PR
  • NPI 1790337582
  NPD

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790845402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11321",
            "address_2": "CAPARRA HEIGHTS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00922",
            "telephone_number": "787-281-0784",
            "fax_number": "787-764-9482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 ROOSEVELT AVE",
            "address_2": "LA TORRE DE PLAZA SUITE 801",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-281-0784",
            "fax_number": "787-764-9482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENMAMAN",
        "first_name": "OLIVA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "7309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TS",
            "identifier": "28662",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leonor Grisel Benitez
• Nilka L Benitez, CRMC
• Oscar Jesus Benitez, MD
• Oscar Rafael Benitez, MD
• Moises Benmaman Garzon, MD
• Bepresent LLC
• Pedro Federico Berdeguer-de Leon, M.D.
• Otto Agustin Berdiel, MS
• Roberto Berdiel, D.M.D.
• Michael Beretta

• Dermatology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Dermatology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.