Individual
BENJAMIN ARTURO DIAZ DUARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(801) 903-9532
Mailing address
602 GOLDEN SUNSHINE CIR, ORLANDO, FL 32807-3456
(801) 903-9532
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
210889
CT
163WG0000X
General Practice Registered Nurse
9464145
FL
367500000X
Certified Registered Nurse Anesthetist
0024189711
VA
367500000X
Certified Registered Nurse Anesthetist
11027334
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
12188
CT
Other
Enumeration date
04/06/2023
Last updated
04/30/2026
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