Individual
BENITO ALBERIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5224 NW WISK FERN CIR, PORT SAINT LUCIE, FL 34986-4366
(561) 975-4245
Mailing address
5224 NW WISK FERN CIR, PORT SAINT LUCIE, FL 34986-4366
(561) 975-4245
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001662-PA
PR
Other
Enumeration date
06/24/2026
Last updated
06/24/2026
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