Active NPI
Benito Edouard, M.D
- General Practice Physician
- North Miami BCH, FL
National Provider Identifier
1811199268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ACN213
- Practice address
- 725 NE 179TH Terr
North Miami BCH, FL 33162-1134 - Phone
- (305) 493-2125
- NPI assigned
- Jun 5, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ACN213 | FL | Primary |
Addresses
Primary practice location
725 NE 179TH Terr
North Miami BCH, FL 33162-1134
Mailing address
725 NE 179TH Ter
Miami, FL 33162-1134
Phone (305) 493-2125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACN213 | FL | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811199268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 NE 179TH TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331621134",
"telephone_number": "305-493-2125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 NE 179TH TERR",
"city": "NORTH MIAMI BCH",
"state": "FL",
"postal_code": "331621134",
"telephone_number": "305-493-2125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDOUARD",
"first_name": "BENITO",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ACN213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Miami BCH, FL
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.