Individual
ARELIS BENITEZ-QUINONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
210 1ST STREET, WANBLEE, SD 57577
(605) 462-5650
(605) 462-6631
Mailing address
210 1ST STREET, P.O. BOX 290, WANBLEE, SD 57577
(605) 462-5650
(605) 462-6631
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
15481
PR
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15481
LICENSE
PR
05
—
5540040
—
SD
01
—
PHS000
UPIN
—
Enumeration date
09/05/2006
Last updated
03/20/2025
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