Doctor Name: | ANIA BENITEZ |
NPI Number: | 1285682302 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | ME90842 |
Business Practice Address: | 3750 W 16th Ave Suite#110 Hialeah, FL - 330124654 |
Business Phone Number: | 3055583220 |
Business Fax Number: | 3055583136 |
Mailing Address: | 3750 W 16th Ave, Suite 110 HIALEAH |
State: | FL |
Postal Code: | 330124654 |
Phone Number: | 3055583220 |
Fax Number: | 3055583136 |
NPI Enumeration Date: | 05/04/2006 |
NPI Last Update Date: | 08/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME90842 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |