Centro de Alergia E Inmunologia LLC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

CENTRO DE ALERGIA E INMUNOLOGIA LLC

Practice address

1728 Calle Segre
Urb. Rio Piedras Heights
San Juan, PR 00926

Phone

(939) 336-7476

Fax

(939) 336-7475

NPI assigned

Aug 6, 2021

Last updated

Aug 6, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Yanira Benitez Ortiz, MDNPI 1548676596

Title

President

Phone

(939) 336-7476

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yanira Benitez Ortiz, MD

  • Allergy & Immunology Physician
  • San Juan, PR
  • NPI 1548676596
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628208000000",
    "number": "1952075434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9545",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007269545",
            "telephone_number": "939-336-7476",
            "fax_number": "939-336-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 CALLE SEGRE",
            "address_2": "URB. RIO PIEDRAS HEIGHTS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "939-336-7476",
            "fax_number": "939-336-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE ALERGIA E INMUNOLOGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-06",
        "last_updated": "2021-08-06",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "BENITEZ ORTIZ",
        "authorized_official_first_name": "YANIRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "939-336-7476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Allergy & Immunology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Allergy & Immunology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.