Individual provider Active NPI

Jose M Rodriguez Benitez

  • General Practice Physician
  • Caguas, PR
National Provider Identifier
1871560938
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
11074 Issued in PR
Practice address
Medico Express
Plaza Gautier Benitez Num 21 1ER Piso
Caguas, PR 00725-0000
Phone
(787) 745-0708
Fax
(787) 745-0708
NPI assigned
Mar 7, 2006
Last updated
Oct 25, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 11074 PR Primary

Addresses

Primary practice location

Medico Express
Plaza Gautier Benitez Num 21 1ER Piso
Caguas, PR 00725-0000

Mailing address

PO Box 1388
Caguas, PR 00726-1388
Phone (787) 745-0708

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070314000193 PR Practitioner - General Practice 4385632603 Reassigns benefits to 1 organization
Practice locations: Juncos, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1982
Medicare assignment
May accept Medicare assignment
Group practices
Tiger Med CorpGroup PAC ID 3476707258, 13 clinicians

Practice addresses (Care Compare)

3 Calle Munoz Rivera
Caguas, PR 00725-2602
Phone (787) 286-2800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11074PRMDGeneral Practice Physician

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1871560938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1388",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007261388",
            "telephone_number": "787-745-0708",
            "fax_number": "787-745-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDICO EXPRESS",
            "address_2": "PLAZA GAUTIER BENITEZ NUM 21 1ER PISO",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007250000",
            "telephone_number": "787-745-0708",
            "fax_number": "787-745-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ BENITEZ",
        "first_name": "JOSE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "11074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.