Individual provider Active NPI

Noemi Benitez, M.D.

  • Specialist
  • Mayaguez, PR
National Provider Identifier
1962597203
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
9680 Issued in PR
Practice address
55 Calle Meditacion Ste 4a
Centro de Servicios Medicos
Mayaguez, PR 00680-4848
Phone
(787) 834-0665
Fax
(787) 834-0666
NPI assigned
Oct 3, 2006
Last updated
Mar 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 9680 PR Primary

Addresses

Primary practice location

55 Calle Meditacion Ste 4a
Centro de Servicios Medicos
Mayaguez, PR 00680-4848

Mailing address

PO Box 400
Mayaguez, PR 00681-0400
Phone (787) 843-0665

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
I20050719000403 PR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2062449366 Practice locations: Mayaguez, PR

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Puerto Rico School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

55 Calle Meditacion
Suite 4a
Mayaguez, PR 00680-4848
Phone (787) 834-0665

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9680PRMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1962597203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006810400",
            "telephone_number": "787-843-0665",
            "fax_number": "787-834-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CALLE MEDITACION STE 4A",
            "address_2": "CENTRO DE SERVICIOS MEDICOS",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804848",
            "telephone_number": "787-834-0665",
            "fax_number": "787-834-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENITEZ",
        "first_name": "NOEMI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "9680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.