Mildred Benitez, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2162 Issued in PR

Practice address

18 Calle Jose de Diego
Cidra, PR 00739-3366

Phone

(787) 739-8063

Fax

(787) 739-8063

NPI assigned

Mar 12, 2007

Last updated

Mar 9, 2016By the provider in NPPES

Sex

Female

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

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Clinica Dental Familiar Cidrena

  • General Practice Dentistry
  • Cidra, PR
  • NPI 1609908086
  NPD (past) Authorized official

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1891827275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1807",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007391807",
            "telephone_number": "787-739-8063",
            "fax_number": "787-739-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CALLE JOSE DE DIEGO",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007393366",
            "telephone_number": "787-739-8063",
            "fax_number": "787-739-8063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENITEZ",
        "first_name": "MILDRED",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Av Health LLC (Farmaxel)
• Enid Ayala Verdejo
• Ana Evelyn Ayala, DMD
• Rafael Baez, M.D.
• Beatriz Medical Center
• Julixa Bermudez Sr.
• Nathalia Sofia Berrios del Valle, MSW
• Lourdes Berrios Santos, PHARMACIST
• Alimarie Berrios, PHT
• Marienaldy Berrios, D.M.D.

• General Practice Dentistry in Cidra, PR
• Providers in Cidra, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; 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.