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DR. BENANETTE MEDINA DMD
NPI 1629564240
Dentist - Pediatric Dentistry in San Juan, PR

Active since July 06, 2018
PINEIRO AVE, PLAZA EL AMAL OFICINA 211, SAN JUAN, PR 00927(787) 765-2679 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 2, 2026, Jan 3, 2024, Nov 6, 2023 and 1 more (4 updates tracked since 2018).

About Dr. Benanette Medina Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BENANETTE MEDINA DMD (NPI 1629564240) is an individual pediatric dentistry provider in San Juan, Puerto Rico, licensed in Puerto Rico (003329) and active in the NPI registry since July 2018. She maintains a secondary practice location in Mayaguez.

NPPES Registry Identity

NPI1629564240
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. BENANETTE MEDINACredential: DMD
Location AddressPINEIRO AVE, PLAZA EL AMAL OFICINA 211San Juan, PR 00927-0092
Mailing AddressPo Box 1810, Pmb 753Mayaguez, PR 00680 · (787) 234-3520
Phone(787) 765-2679
Sole ProprietorNo
Enumeration DateJuly 6, 2018
Last NPPES UpdateMarch 2, 20264 updates tracked since enumeration
NPPES CertifiedMarch 2, 2026
✔ NPI 1629564240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in PR · 003329
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

Secondary Practice Location 1

Location 1215 Calle De La CandelariaMayaguez, PR 00682-3202 · Phone (787) 234-3520

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benanette Medina's NPI number?

The NPI number for Benanette Medina is 1629564240. It was assigned to this individual provider in the NPPES registry on July 6, 2018.

Where is Benanette Medina located?

Benanette Medina practices at Pineiro Ave Plaza El Amal Oficina 211, San Juan, PR 00927. The listed phone number is (787) 765-2679.

What is Benanette Medina's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Benanette Medina was last updated on March 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.