Benavidez, Marisol D.

Benavidez, Marisol D. is an individual health care provider with primary practice located at 801 W. 1St Street , San Juan TX 78589. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Benavidez, Marisol D. can be contacted via phone (956) 787-8915.

Contact Information

Primary practice address
801 W. 1St Street San Juan TX 78589
Fax: (956) 787-2021
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X M7855 Texas

Profile Details

NPI number 1891983888
LBN Legal business name Benavidez, Marisol D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2007
Last updated Aug 31st, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891983888 NPPES
Texas Other TXB142923 MEDICARE
Texas MEDICAID 297333101 MEDICARE

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