Individual
DR. CARLOS F BENITEZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
609 AVE TITO CASTRO, PMB 349, PONCE, PR 00716-0206
(787) 841-1419
(787) 841-1419
Mailing address
609 AVE TITO CASTRO, PMB 349, PONCE, PR 00716-0206
(787) 841-1419
(787) 841-1419
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1702
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041348
BLUE CROSS
PR
01
—
206384
UTI
PR
01
—
41573
SSS
PR
01
—
7310230
HUMANA
PR
Enumeration date
06/16/2005
Last updated
07/08/2007
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