Provider Demographics
NPI:1932124930
Name:BENITEZ RIOS, CARLOS FRANCISCO (MD)
Entity Type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:FRANCISCO
Last Name:BENITEZ RIOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 02 BOX 6622
Mailing Address - Street 2:
Mailing Address - City:FLORIDA
Mailing Address - State:PR
Mailing Address - Zip Code:00650
Mailing Address - Country:US
Mailing Address - Phone:787-894-4829
Mailing Address - Fax:787-894-4829
Practice Address - Street 1:A2 URB CABRERA
Practice Address - Street 2:
Practice Address - City:UTUADO
Practice Address - State:PR
Practice Address - Zip Code:00641-2212
Practice Address - Country:US
Practice Address - Phone:787-894-4829
Practice Address - Fax:787-894-4829
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2009-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9047208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
04319OtherAMERICAN HEALTH, INC
065599OtherLA CRUZ AZUL DE PR
100015OtherMEDICARE Y MUCHO MAS
6500009OtherHUMANA
83282OtherTRIPLE-S
201647OtherPREFERRED HEALTH, INC
3625-1OtherPROSSAM
6500009OtherHUMANA
201647OtherPREFERRED HEALTH, INC