OMAR BENITEZ MD PA NPI 1699931782

NPI Information

  • NPI: 1699931782
  • Provider Name: OMAR BENITEZ MD PA
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • CLIA Number: 10D2076862
  • Address: 2141 SW 1ST ST
    SUITE 107
    MIAMI, FL
    ZIP 33135
  • Phone: (305) 591-0027

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NPI Details

OMAR BENITEZ MD PA is a general practice in Miami, FL. The provider is 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 OMAR BENITEZ MD PA NPI is 1699931782. The provider is registered as an organization entity type.

The provider's business location address is:

2141 SW 1ST ST
SUITE 107
MIAMI, FL
ZIP 33135-694
Phone: (305) 591-0027
Fax: (305) 591-4284

The provider's authorized official is Omar Benitez .
The authorized official title is President and has the following contact phone number (305) 591-0027.

The CLIA number assigned to this NPI record is 10D2076862 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/29/2008 and was last updated on 4/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterHCC6978FLORIDANo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
3208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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