Individual
DR. BENANETTE MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
PINEIRO AVE, PLAZA EL AMAL OFICINA 211, SAN JUAN, PR 00927-0092
(787) 765-2679
Mailing address
PO BOX 1810, PMB 753, MAYAGUEZ, PR 00680
(787) 234-3520
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
003329
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/06/2018
Last updated
03/02/2026
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