# INTERMED OB-GYN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679694483
- **Authorized official:** MR. AURELIO BENES-MARTINEZ MD (PRESIDENT)
- **Authorized official phone:** (787) 746-5454

## Contact information

- **Practice address:** AVE DEGETAU FINAL, EDIFICIO HIMA OFICINA 108, CAGUAS, PR 00725
- **Practice address phone:** (787) 746-5454
- **Practice address fax:** (787) 746-5454
- **Mailing address:** PO BOX 7379, CAGUAS, PR 00726-7379
- **Mailing address phone:** (787) 746-5454
- **Mailing address fax:** (787) 746-5454

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/02/2007
- **Last updated:** 08/22/2020