Individual
DR. LUIS F BENITEZ LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1805 27TH ST, PORTSMOUTH, OH 45662-2686
(740) 356-8231
(740) 356-3686
Mailing address
1735 27TH ST STE B06, PORTSMOUTH, OH 45662-2681
(740) 356-8681
(740) 353-7900
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
011362
PR
207L00000X
Anesthesiology Physician
Primary
35080449
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2350405
—
OH
Enumeration date
06/01/2006
Last updated
12/29/2020
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