Benitez Lopez, Wanda I
Benitez Lopez, Wanda I is an individual health care provider with primary practice located at Quintas De Santa Maria 715, Mayaguez PR 00682-7496. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Benitez Lopez, Wanda I can be contacted via phone (787) 265-2471.Contact Information
Primary practice address
Quintas De Santa Maria 715
Mayaguez PR 00682-7496
Phone: (787) 265-2471
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 6863 | Puerto Rico |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | R6E72 | Missouri |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | R3810 | Arkansas |
Profile Details
| NPI number | 1447316393 |
|---|---|
| LBN Legal business name | Benitez Lopez, Wanda I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2006 |
| Last updated | May 3rd, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447316393 | NPPES |
| Other | 89084 | SSS |
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