Individual
ANDREA DEL CISNE BENAVIDES ORDONEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2124 CANDLER RD, DECATUR, GA 30032-5572
(404) 836-0272
(404) 666-0038
Mailing address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
(305) 628-6117
(305) 393-5989
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
110184
GA
207R00000X
Internal Medicine Physician
271620
MA
207R00000X
Internal Medicine Physician
A170365
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271620
—
MA
Enumeration date
07/03/2017
Last updated
01/06/2026
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