Individual provider Active NPI

Louise Mary Benvenuto, M.D.

  • Ophthalmology Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1992013031
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME 94259 Issued in FL
Practice address
128 Vizcaya Estates Dr
Palm Beach Gardens, FL 33418-1735
Phone
(561) 214-1462
Fax
(561) 626-0446
NPI assigned
Sep 23, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME 94259 FL Primary

Addresses

Primary practice location

128 Vizcaya Estates Dr
Palm Beach Gardens, FL 33418-1735

Mailing address

128 Vizcaya Estates Dr
Palm Beach Gardens, FL 33418-1735
Phone (561) 214-1462

Other names 1

  • Dr. Louise Mary Tubio-Cid Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Louise M. Benvenuto, M.D., P.L.L.C. Ophthalmology Current Accepting new patients

Locations

2532 Okeechobee Blvd
West Palm Beach, FL 33409
Phone (561) 290-6362

Organizations & group practices 1

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": "1285200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285200000000",
    "number": "1992013031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 VIZCAYA ESTATES DR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334181735",
            "telephone_number": "561-214-1462",
            "fax_number": "561-626-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 VIZCAYA ESTATES DR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334181735",
            "telephone_number": "561-214-1462",
            "fax_number": "561-626-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENVENUTO",
        "first_name": "LOUISE",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME 94259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOUISE",
            "last_name": "TUBIO-CID",
            "middle_name": "MARY",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.