Individual
DR. JUAN BENITEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
37313
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3883441
—
TN
05
—
Q022507
—
TN
Enumeration date
12/27/2005
Last updated
10/30/2024
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