| Benitez Santana Med Group LLC | |
|
174 Calle Luis Barreras S Cayey PR 00736-4615 | |
| (787) 981-0299 | |
| Not Available |
| Full Name | Benitez Santana Med Group LLC |
|---|---|
| Speciality | General Practice |
| Location | 174 Calle Luis Barreras S, Cayey, Puerto Rico |
| Authorized Official Name and Position | Juan a Benitez Santana (PRESIDENT) |
| Authorized Official Contact | 7879810299 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Benitez Santana Med Group LLC Po Box 576 Gurabo PR 00778-0576 Ph: (787) 981-0299 | Benitez Santana Med Group LLC 174 Calle Luis Barreras S Cayey PR 00736-4615 Ph: (787) 981-0299 |
| NPI Number | 1790654937 |
|---|---|
| Provider Enumeration Date | 11/04/2025 |
| Last Update Date | 11/04/2025 |
| Certification Date | 11/04/2025 |
| Medicare PECOS PAC ID | 6204321714 |
|---|---|
| Medicare Enrollment ID | O20251222003598 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790654937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (NU) | Primary |
| Provider Name | Juan a Benitez Santana |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1346373156 PECOS PAC ID: 8325295678 Enrollment ID: I20120822000116 |
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