| Doctor Name: | MR. ALVIN ORTEGA BENEMERITO |
| NPI Number: | 1437330495 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RPT |
| License Number: | 0932 |
| Business Practice Address: | 102 E South St Rch Rehab Department Bassett, NE - 687145508 |
| Business Phone Number: | 4026843366 |
| Business Fax Number: | 4134315660 |
| Mailing Address: | Po Box 38, 621 North Main St LONG PINE |
| State: | NE |
| Postal Code: | 692170038 |
| Phone Number: | 4022733164 |
| Fax Number: | 4134315660 |
| NPI Enumeration Date: | 11/19/2007 |
| NPI Last Update Date: | 11/19/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 0932 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SD |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |