Active NPIIndividual provider

Dr. Benanette Medina, DMD

Dentist, Pediatric Dentistry in San Juan, Puerto Rico

NPI Number1629564240
Practice location
Pineiro Ave, Plaza El Amal Oficina 211, San Juan, PR 00927-0092
Fax
—
Last updated
March 2, 2026

Benanette Medina is a Dentist, Pediatric Dentistry based in San Juan, PR. Benanette Medina practices in San Juan, PR and has the professional credentials of DMD. The NPI Number for Benanette Medina is 1629564240 and holds a License No. 003329 (PR). The current practice location address for Benanette Medina is Pineiro Ave, Plaza El Amal Oficina 211, San Juan, PR 00927-0092 and can be reached out via phone at 787-765-2679.

Provider Profile Details

NPI Number
1629564240
Provider Name
Benanette Medina
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
Pineiro Ave, Plaza El Amal Oficina 211, San Juan, PR 00927-0092
Phone Number
787-765-2679
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Sole Proprietor
No
Provider Enumeration Date
July 6, 2018
Last Update Date
March 2, 2026
Certification Date
March 2, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
Pineiro Ave
Plaza El Amal Oficina 211
San Juan, PR 00927-0092
Zip
00927-0092
Phone Number
787-765-2679
San Juan, PR 00927Get directions →

Provider Business Mailing Address Details

Address
Po Box 1810
Pmb 753
Mayaguez, PR 00680
City
Mayaguez
State
PR
Zip
00680
Phone Number
787-234-3520

License Information

License Number (1)
003329
License State (1)
PR
Taxonomy (1)
Dentist, Pediatric Dentistry · 1223P0221X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Dentist, Pediatric Dentistry providers near San Juan, PR

View all Dentist, Pediatric Dentistry providers in San Juan →

Frequently Asked Questions

What is the NPI number of Dr. Benanette Medina, DMD?

The NPI number of Dr. Benanette Medina, DMD is 1629564240. It was assigned on July 6, 2018 and is currently active in the NPPES registry.

What is the specialty of Dr. Benanette Medina, DMD?

Dr. Benanette Medina, DMD is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in PR under license number 003329.

Where does Dr. Benanette Medina, DMD practice?

The practice location is Pineiro Ave, Plaza El Amal Oficina 211, San Juan, PR 00927-0092. The office can be reached at 787-765-2679 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629564240 directly on the NPPES registry website.

Browse related providers