Benito Santos Servino

Primary specialty

Transportation Network CompanyTaxonomy code 342000000X

License

2405675 Issued in GU

Practice address

288 Iglesias Cir
Dededo, GU 96929-5328

Phone

(671) 898-8695

NPI assigned

Jun 8, 2023

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1881388015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21156",
            "city": "BARRIGADA",
            "state": "GU",
            "postal_code": "969211156",
            "telephone_number": "671-898-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 IGLESIAS CIR",
            "city": "DEDEDO",
            "state": "GU",
            "postal_code": "969295328",
            "telephone_number": "671-898-8695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERVINO",
        "first_name": "BENITO",
        "middle_name": "SANTOS",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": "GU",
            "license": "2405675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer K Ross, BCHIS
• Joel Marc C Rubio, MD
• Manilyn Sarinas Salalila, RN
• Elizabeth Dizon Santos, AGNP-C
• Edmund Schroeder Jr., MD
• Scott R. Shay, M.D.
• Noel Deguzman Silan, DPM
• Maridel Somera
• Chad Michael Springer, CRNA
• Kristine Stanley, RN

• All providers in Dededo, GU
• Transportation Network Company in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.