Yanira Marcano Benitez, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

18649 Issued in PR

Practice address

Bo. Rio Blanco Carr 31 KM 9.6
Naguabo, PR 00718

Phone

(787) 602-9041

NPI assigned

Aug 10, 2011

Last updated

Sep 29, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Desert Kidney Associates PLC

  • Nephrology Physician
  • Mesa, AZ
  • NPI 1144372905
  NPD (past)

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1801175757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 4125",
            "city": "NAGUABO",
            "state": "PR",
            "postal_code": "007189771",
            "telephone_number": "787-602-9041",
            "fax_number": "787-861-7162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO. RIO BLANCO CARR 31 KM 9.6",
            "city": "NAGUABO",
            "state": "PR",
            "postal_code": "00718",
            "telephone_number": "787-602-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCANO BENITEZ",
        "first_name": "YANIRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-10",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "56516",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "18649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "422038",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eduardo Lopez, PSYCHOLOGYST
• Margarita Lopez, THL
• Rachel Lopez, PHL
• Richard Malave, R.PH.
• Suehei Maldonado
• Carmen Lourdes Marcano, R.PH.
• Ramon Matanzo Vicens, DMD
• Limarie Matos Ramos, PA
• Tomas Maunez IV, M.ED. LPC, RN-BSN
• Mayra's Pharmacy PSC

• Pediatrics Physician in Naguabo, PR
• Providers in Naguabo, PR by specialty
• Pediatrics Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.