# LUIS LOPEZ-BENITEZ MD LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Centennial Ob/Gyn
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649411885
- **Authorized official:** DR. LUIS J LOPEZ-BENITEZ MD (PRESIDENT)
- **Authorized official phone:** (702) 476-1100

## Contact information

- **Practice address:** 6850 N DURANGO DR, SUITE 420, LAS VEGAS, NV 89149-4595
- **Practice address phone:** (702) 476-1100
- **Practice address fax:** (702) 476-1101
- **Mailing address:** 6850 N DURANGO DR, SUITE 420, LAS VEGAS, NV 89149-4595
- **Mailing address phone:** (702) 476-1100
- **Mailing address fax:** (702) 476-1101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 12325 | NV | Yes |

## Other

- **Enumeration date:** 03/18/2009
- **Last updated:** 12/09/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1891992780 | INDIVIDUAL NPI | NV |