# BENABE VISUAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BENABEVISUALCLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114648128
- **Authorized official:** CARMEN BENABE OD (OWNER)
- **Authorized official phone:** (787) 637-1464

## Contact information

- **Practice address:** 12-30 BOULEVARD DR \# DRIVEC, BAYAMON, PR 00959-6656
- **Practice address phone:** (787) 637-1464
- **Mailing address:** PO BOX 194483, SAN JUAN, PR 00919-4483

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/07/2022
- **Last updated:** 09/07/2022