Benitez, Maria Teresa Datan

Benitez, Maria Teresa Datan is an individual health care provider with primary practice located at 1100 N Palm Canyon Dr Suite 212, Palm Springs CA 92262-4414. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Benitez, Maria Teresa Datan can be contacted via phone (760) 327-7900.

Contact Information

Primary practice address
1100 N Palm Canyon Dr Suite 212 Palm Springs CA 92262-4414
Fax: (760) 327-7905
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X C55826 California
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301092193 Michigan

Profile Details

NPI number 1700044187
LBN Legal business name Benitez, Maria Teresa Datan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2008
Last updated May 21st, 2014 - about 10 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 1700044187 NPPES
California MEDICAID GR0101242
California Other ZZZ27958Z
California MEDICAID GR0101241
California MEDICAID GR0101240

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