Individual
IVELISSE BENITEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
151 CALLE PACHIN MARIN, BARRIADA BUENA VISTA, SAN JUAN, PR 00917
(787) 387-3303
(787) 723-6247
Mailing address
151 CALLE PACHIN MARIN, BARRIADA BUENA VISTA, SAN JUAN, PR 00917-1412
(787) 387-3303
(787) 723-6247
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
78391
PR
Other
Enumeration date
02/20/2017
Last updated
02/20/2017
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