Individual
MR. BENJAMIN STIXRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HS, AMS, NREMT
Contact information
Practice address
260 GUARD RD, AGUADILLA, PR 00603-1304
(787) 890-8477
Mailing address
260 GUARD RD, AGUADILLA, PR 00603-1304
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
02182001
AK
146N00000X
Basic Emergency Medical Technician
B1391377
PR
171000000X
Military Health Care Provider
—
—
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
01/10/2006
Last updated
09/11/2025
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