Individual
DR. MARISOL D. BENAVIDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
801 W. 1ST STREET, SAN JUAN, TX 78589
(956) 787-8915
(956) 787-2021
Mailing address
801 W. 1ST STREET, SAN JUAN, TX 78589-2276
(956) 787-8915
(956) 787-2021
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
M7855
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
297333101
—
TX
01
—
TXB142923
MEDICARE
TX
Enumeration date
10/04/2007
Last updated
08/31/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us