Julio Edgardo Benabe, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

#6123 Issued in PR

Practice address

Consorcio de Investigacion Clinicas RCM
Escuela de Medicina Centro Medico de Puerto Rico
San Juan, PR 00935

Phone

(787) 759-0306

Fax

(787) 759-0305

NPI assigned

Jul 17, 2006

Last updated

Nov 20, 2015By 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 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447977600000",
    "number": "1962420984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6165 AVE. ISLA VERDE",
            "address_2": "ESJ TOWERS APT 1474",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00979",
            "telephone_number": "787-759-0306",
            "fax_number": "787-759-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CONSORCIO DE INVESTIGACION CLINICAS RCM",
            "address_2": "ESCUELA DE MEDICINA CENTRO MEDICO DE PUERTO RICO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00935",
            "telephone_number": "787-759-0306",
            "fax_number": "787-759-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENABE",
        "first_name": "JULIO",
        "middle_name": "EDGARDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2015-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "#6123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marinette Beltran, MSW
• Savannah Ji Beltran
• Luis Beltre, M.D.
• Erika Michelle Benabe-Gonzalez, MD, FACOG
• Carmen H Benabe, O.D.
• Lianette Benabe, PHARM.D.
• Eliezer Benero-Natal, M.D.
• Diego Rafael Benet Rivera, MD
• Jennifer Beniquez Martir, MEDICAL STUDENT
• Dohanies Marie Beniquez Ramirez, LND

• Nephrology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Nephrology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.