Individual
EDWIN JOHMAR BENITEZ APONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 CALLE CASIA, SAN JUAN, PR 00921-3200
(787) 641-7582
Mailing address
610 CARR 709, CIDRA, PR 00739-2287
(787) 586-6471
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
102892I
NY
Other
Enumeration date
07/03/2024
Last updated
07/04/2024
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