MEDICARE: DR. RUI CARLOS BENEVIDES II M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	M9155	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093973216
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RUI CARLOS BENEVIDES II M.D.

Provider Business Mailing Address
First Line	:	PO BOX 822368
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75382-2368
Country	:	US
Telephone Number	:	855-704-0283
Fax Number	:	469-518-4827

Provider Business Practice Location Address
First Line	:	PO BOX 822368
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75382-2368
Country	:	US
Telephone Number	:	855-704-0283
Fax Number	:	469-518-4827

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2008
Last Update Date	:	08/30/2024

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