Individual
DR. VICTOR H BENAVIDES MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 I ST FL 2, LA PORTE, IN 46350-5533
(219) 324-1938
(219) 324-1602
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01088414A
IN
207Q00000X
Family Medicine Physician
29323
PR
207Q00000X
Family Medicine Physician
4301106900
MI
Other
Enumeration date
02/26/2014
Last updated
02/28/2023
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