Rafael Ricardo Benezra Roman

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME137192 Issued in FL

Practice address

10280 Pines Blvd Ste P701
Pembroke Pines, FL 33026-6057

Phone

(954) 323-8446

Fax

(954) 323-8207

NPI assigned

Jun 20, 2016

Last updated

Dec 15, 2022By the provider in NPPES

Sex

Male

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

Enrolled in FL

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

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.

• Chen Neighborhood Medical Centers of South Florida, LLC

  • Specialist
  • Miami Gardens, FL
  • NPI 1881024800
  Medicare reassignment
• Chen Neighborhood Medical Centers of South Florida LLC

  dba IntuneHealth Pines Central

  • Non-Pharmacy Dispensing Site
  • Pembroke Pines, FL
  • NPI 1649939620
  NPD (past)

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1851741813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10280 PINES BLVD STE P701",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330266057",
            "telephone_number": "954-323-8446",
            "fax_number": "954-323-8207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10280 PINES BLVD STE P701",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330266057",
            "telephone_number": "954-323-8446",
            "fax_number": "954-323-8207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Long Branch",
            "state": "NJ",
            "postal_code": "077406303",
            "country_code": "US",
            "telephone_number": "732-222-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENEZRA ROMAN",
        "first_name": "RAFAEL",
        "middle_name": "RICARDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-20",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME137192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Bencomo, MD
• David John Bendyk, RPH
• Lafonda Denmark Beneby
• Suzette Benet, RT
• Benevolence for Humanity Inc
• Alyssa Samantha Benitez, BACHELORS
• Dayana Benitez
• Celena Ada Benjamin, LMT
• Max F Benjamin, M.D
• Bennett ABA Therapy LLC

• Internal Medicine Physician in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.