Individual provider Active NPI

Jose L Benitez Aponte, MD

  • Ophthalmology Physician
  • Humacao, PR
National Provider Identifier
1972584878
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
8744 Issued in PR
Practice address
125 Calle Font Martelo E
Humacao, PR 00791-3955
Phone
(787) 852-6825
Fax
(787) 421-7613
NPI assigned
Nov 8, 2005
Last updated
Apr 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X
Ophthalmology Physician 207W00000X 8744 PR Primary

Addresses

Primary practice location

125 Calle Font Martelo E
Humacao, PR 00791-3955

Mailing address

PO Box 8809
Humacao, PR 00792-8809
Phone (787) 852-6825

Other names 1

  • Jose L Benitez Former name

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
I20111229000708 PR Practitioner - Ophthalmology 4688840358 Practice locations: Humacao, PR

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Puerto Rico School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

125 Ave Font Martelo
Humacao, PR 00791-3357
Phone (787) 852-6825

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8744PRMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Humacao Eye Services, LLC Ophthalmology Current Accepting new patients
Bright Retina Practice PR LLC Ophthalmology CurrentSince Sep 1, 2024 Accepting new patients
Vista Optica LLC PastSince Dec 5, 2021 Accepting new patients
Eastern Retina Consultants of Puerto Rico, PSC Ophthalmology PastSince Nov 1, 2014 Accepting new patients

Locations

125 Calle Font Martelo E
Humacao, PR 00791
Phone (787) 852-6825

Interoperability endpoints

  • Direct secure messaging: jbenitezmd@centrooftalmologico.direct.eyemdemr.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1972584878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8809",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007928809",
            "telephone_number": "787-852-6825",
            "fax_number": "787-421-7613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CALLE FONT MARTELO E",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913955",
            "telephone_number": "787-852-6825",
            "fax_number": "787-421-7613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENITEZ APONTE",
        "first_name": "JOSE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "8744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSE",
            "last_name": "BENITEZ",
            "middle_name": "L",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Humacao, PR

Sources for this page

Verify at the official NPI Registry.