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Individual

YANIRA MARCANO BENITEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
BO. RIO BLANCO CARR 31 KM 9.6, NAGUABO, PR 00718
(787) 602-9041
Mailing address
HC 1 BOX 4125, NAGUABO, PR 00718-9771
(787) 602-9041
(787) 861-7162

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
18649
PR
208000000X
Pediatrics Physician
56516
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
422038
AZ
Enumeration date
08/10/2011
Last updated
09/29/2023
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