LUIS IVAN ROSA BENIQUE MD
NPI 1669015319
General Practice in Aguada, PR
About Luis Ivan Rosa Benique Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LUIS IVAN ROSA BENIQUE MD (NPI 1669015319) is an individual general practice provider in Aguada, Puerto Rico, licensed in Puerto Rico (22852) and active in the NPI registry since October 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Aguada.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Luis Ivan Rosa Benique Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Luis Rosa Benique reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Caguas, PR 00726
- Reassigned Medicare billing, Puerto Rico enrollment
- 11 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Luis Rosa Benique's NPI number?
The NPI number for Luis Rosa Benique is 1669015319. It was assigned to this individual provider in the NPPES registry on October 25, 2019.
Where is Luis Rosa Benique located?
Luis Rosa Benique practices at Bo Naranjo Carr 417 R 4415 Km 3.6, Aguada, PR 00602. The listed phone number is (939) 288-8145.
What is Luis Rosa Benique's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Luis Rosa Benique enrolled in Medicare?
Yes. Luis Rosa Benique is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Luis Rosa Benique's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Luis Rosa Benique reassigns Medicare benefits to Mediko Medicina Primaria Corp (Caguas, PR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Luis Rosa Benique's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Luis Rosa Benique was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Luis Ivan Rosa Benique, MD · NPI 1669015319
General Practice physician in Aguada, Puerto Rico. Individual provider, active in the CMS NPPES registry since October 25, 2019.
## Identity
- **NPI:** 1669015319 (Entity type: Individual)
- **Enumerated:** October 25, 2019
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 22852 (Puerto Rico)
- **Sole proprietor:** Yes
## Practice location
- **Address:** BO NARANJO CARR 417 R 4415 KM 3.6, Aguada, PR 00602
- **Phone:** (939) 288-8145
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mediko Medicina Primaria Corp (NPI 1609096981, Caguas, PR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 23, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1669015319) · Data from the CMS NPPES public registry.