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LUIS IVAN ROSA BENIQUE MD
NPI 1669015319
General Practice in Aguada, PR

Active since October 25, 2019PECOS Enrolled
BO NARANJO CARR 417 R 4415 KM 3.6, AGUADA, PR 00602(939) 288-8145 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 23, 2022, Jul 26, 2022, Oct 25, 2019 (3 updates tracked since 2019).

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

NPI1669015319
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameLUIS IVAN ROSA BENIQUECredential: MD
Location AddressBO NARANJO CARR 417 R 4415 KM 3.6Aguada, PR 00602
Mailing AddressHc- 56 Box 46772Aguada, PR 00602 · (939) 288-8145
Phone(939) 288-8145
Sole ProprietorYes
Enumeration DateOctober 25, 2019
Last NPPES UpdateAugust 23, 20223 updates tracked since enumeration
NPPES CertifiedAugust 18, 2022
✔ NPI 1669015319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PR · 22852
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Secondary Practice Location 1

Location 1Bo Naranjo Car 417 R 4415Aguada, PR 00602 · Phone (939) 288-8145

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Luis Ivan Rosa Benique Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

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 3 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.