Individual provider Active NPI

Zahira Rosario-Benitez, PA

  • Physician Assistant
  • Clearwater, FL
National Provider Identifier
1982294575
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9113979 Issued in FL
Practice address
2467 Enterprise Rd Ste a
Clearwater, FL 33763-1724
Phone
(727) 791-1411
NPI assigned
Jan 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9113979 FL Primary

Addresses

Primary practice location

2467 Enterprise Rd Ste a
Clearwater, FL 33763-1724

Mailing address

2467 Enterprise Rd Ste a
Clearwater, FL 33763-1724
Phone (727) 358-4987

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210312000063 FL Practitioner - Physician Assistant 3971919101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Countryside Dermatology and Laser Center Inc CurrentSince Mar 1, 2021 Accepting new patients
Douglas K Pierce MD PA Past Accepting new patients

Locations

2467 Enterprise Rd
Ste A
Clearwater, FL 33763
Phone (727) 350-2949

Interoperability endpoints

  • Direct secure messaging: zahira.rosario@suncoastskin.emadirect.md

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1982294575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2467 ENTERPRISE RD STE A",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337631724",
            "telephone_number": "727-358-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2467 ENTERPRISE RD STE A",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337631724",
            "telephone_number": "727-791-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSARIO-BENITEZ",
        "first_name": "ZAHIRA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.