DR. CARLOS F BENITEZ D.M.D.
NPI 1578568598
Dentist - General Practice in Ponce, PR
NPI Status: Active since June 16, 2005
Contact Information
609 AVE TITO CASTRO
PMB 349
PONCE, PR
ZIP 00716
Phone: (787) 841-1419
Fax: (787) 841-1419
- Individual
- Male
- Dentist
- General Practice
- Accepts Insurance
- PECOS Enrolled
About CARLOS BENITEZ
This page provides the complete NPI Profile along with additional information for Carlos Benitez, a provider established in Ponce, Puerto Rico with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1578568598 assigned on June 2005. The practitioner's primary taxonomy code is 1223G0001X with license number 1702 (PR). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1578568598
- Provider Name
- DR. CARLOS F BENITEZ D.M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 609 AVE TITO CASTRO PMB 349 PONCE, PR 00716
- Location Phone
- (787) 841-1419
- Location Fax
- (787) 841-1419
- Mailing Address
- 609 AVE TITO CASTRO PMB 349 PONCE, PR 00716
- Mailing Phone
- (787) 841-1419
- Mailing Fax
- (787) 841-1419
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-16-2005
- Last Update Date
- 07-08-2007
- Code Navigator
A dentist like Carlos Benitez is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- License No.
- 1702
- License State
- PR
- Taxonomy Description
- A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueDental Copayment Q - PPO
- BlueDental Copayment QF - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7310230 | OTHER (01) | PR | HUMANA |
| 41573 | OTHER (01) | PR | SSS |
| 206384 | OTHER (01) | PR | UTI |
| 041348 | OTHER (01) | PR | BLUE CROSS |
Medicare Participation & PECOS Enrollment Status
Carlos Benitez is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 00716 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $88.07
- Minimum New Patient Price $56.86
- Maximum New Patient Price $172.44
- Average New Patient Copayment $22.01
- Minimum New Patient Copayment $14.21
- Maximum New Patient Copayment $43.11
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $70.88
- Minimum Established Patient Price $18.24
- Maximum Established Patient Price $140.44
- Average Established Patient Copayment $17.72
- Minimum Established Patient Copayment $4.56
- Maximum Established Patient Copayment $35.11
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. CARLOS F BENITEZ D.M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 7 | 8 | 5 | 6 | 8 | 5 | 9 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 14 | 8 | 10 | 6 | 16 | 5 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 4 + 8 + 1 + 0 + 6 + 1 + 6 + 5 + 1 + 8 + 24 = 72 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 72 = 8 | 8 | ||||||||
The NPI number 1578568598 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
DR. GILBERTO RUIZ DEYA M.D.
Urology
609 AVE TITO CASTRO
STE. 102, PMB 363
PONCE, PR
ZIP 00716
MARIA TERESA NIEVES RODRIGUEZ
Clinical Medical Laboratory
609 AVE TITO CASTRO
ST 102 PMB 353
PONCE, PR
ZIP 00716
MRS. AMPARO FIGUEROA M.A
Psychologist
609 AVE TITO CASTRO
STE 102 PMB #174
PONCE, PR
ZIP 00716
KARLA MARIE BERRIOS MSW
Social Worker
(Clinical)
609 AVE TITO CASTRO
SUITE 102 PBM 380
PONCE, PR
ZIP 00716
DR. ORLANDO J MARCHENA ARRAUT MD
Internal Medicine
609 AVE TITO CASTRO
SUITE 102 PMB 353
PONCE, PR
ZIP 00716
RICARDO CRUZ MD
Anesthesiology
609 AVE TITO CASTRO
SUITE 102 PMB 346
PONCE, PR
ZIP 00716
SOUTHERN INTERNAL MEDICINE INSTITUTE
Clinic/Center
(Medical Specialty)
609 AVE TITO CASTRO
STE 102 PMB 153
PONCE, PR
ZIP 00716
ATLANTIS HEALTH CARE GROUP PUERTO RICO, INC.
Clinic/Center
(End-Stage Renal Disease (ESRD) Treatment)
609 AVE TITO CASTRO
SUITE 102 PMB 380
PONCE, PR
ZIP 00716
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578568598, enumerated as an "individual" on June 16, 2005.
The provider is located at 609 AVE TITO CASTRO PMB 349 PONCE, PR 00716 and the phone number is (787) 841-1419.
Dentist with taxonomy code 1223G0001X and a focus in General Practice.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Blue Cross. Please consult your insurance carrier or call the provider to verify.
