Individual ProviderOmar BenitezGeneral PracticeAllopathic & Osteopathic PhysiciansPractice Address1800 SW 127th Ave, Miami, FL 33175-1437(786) 426-7149PECOS EnrollmentBased on the most recent information from CMS, provider Omar Benitez is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1912170556Provider TypeIndividualFull NameBenitez, OmarCredentialMDGenderMaleSole ProprietorYesEnumeration Date4/3/2008Last Updated5/6/2009Contact InformationPractice LocationPractice Address1800 SW 127th Ave, Miami, FL 33175-1437Phone(786) 426-7149FaxUnlisted FaxMailing LocationMailing Address1800 SW 127th Ave, Miami, FL 33175-1437Phone(786) 426-7149FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208D00000XPrimaryDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicenseME101324Florida