Benjo, Alexandre Miguel
Benjo, Alexandre Miguel is an individual health care provider with primary practice located at 1714 W Anklam Rd Suite #104, Tucson AZ 85745-2689. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Benjo, Alexandre Miguel can be contacted via phone (520) 838-3540.Contact Information
Primary practice address
1714 W Anklam Rd Suite #104
Tucson AZ 85745-2689
Phone: (520) 838-3540
Fax: (520) 325-3526
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 23004 | Mississippi |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | MD206266 | Louisiana |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 505941 | Arizona |
Profile Details
| NPI number | 1164606448 |
|---|---|
| LBN Legal business name | Benjo, Alexandre Miguel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2007 |
| Last updated | Oct 3rd, 2017 - about 7 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 | 1164606448 | NPPES |
| Mississippi | MEDICAID | 08985016 | |
| Mississippi | MEDICAID | 2334018 |
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