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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447316393 NPPES
Other 89084 SSS

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