Benedicto P Sanpedro, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME29312 Issued in FL

Practice address

3731 Lake Worth Road
Suite 1
Lake Worth, FL 33461

Phone

(561) 967-0234

Fax

(561) 439-4833

NPI assigned

Jul 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280188800000",
    "number": "1992719686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3731 LAKE WORTH ROAD",
            "address_2": "SUITE 1",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "33461",
            "telephone_number": "561-967-0234",
            "fax_number": "561-439-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3731 LAKE WORTH ROAD",
            "address_2": "SUITE 1",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "33461",
            "telephone_number": "561-967-0234",
            "fax_number": "561-439-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANPEDRO",
        "first_name": "BENEDICTO",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2010-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "FL",
            "license": "ME0029312",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME29312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "058858000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Gaylord Sandell, D.M.D.
• Dianna Sanderson, LMFT
• Dayanni Sanfiel Romero
• Charles David Sanford, P.A.
• Sanitas Group Inc.
• Marile L Santamarina, MS, PHARMD, CPH, CDE
• Juan Eugenio Santiago, MD
• Rebekah Santiago, PT
• Wildelia Santiago, PSYD
• Osmel Santiesteban Molina, FNP-C

• Family Medicine Physician in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.