Johanna Stefany Canenguez Benitez, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

BP10084474 Issued in TX

Practice address

301 University Blvd # 9.128
Galveston, TX 77555-5302

Phone

(409) 772-8031

Fax

(409) 772-6940

NPI assigned

Jul 11, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Utmb

  • Chronic Disease Hospital
  • Galveston, TX
  • NPI 1386923670
  NPD (past)

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1801574579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD # 9.128",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775555302",
            "telephone_number": "409-772-8031",
            "fax_number": "409-772-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD # 9.128",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775555302",
            "telephone_number": "409-772-8031",
            "fax_number": "409-772-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANENGUEZ BENITEZ",
        "first_name": "JOHANNA",
        "middle_name": "STEFANY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "BP10084474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerardo David Camoriano Nolasco, MD
• Gerald A Campbell, M.D., PH.D.
• Kendall Marvin Campbell, MD
• Matthew Campbell, MD
• Cindy Canales
• Morgan Marie Cangelosi, FNP-C
• Ryan Cantrell
• Linda Cao
• Thao-an Cao
• George N Carayannopoulos, M.D.

• Neurology Physician in Galveston, TX
• Providers in Galveston, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.