MEDICARE: ANIA BENITEZ MD

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	208D00000X	General Practice Physician	ME90842	FL

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

General Provider Information

NPI Number	:	1285682302
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANIA BENITEZ MD

Provider Business Mailing Address
First Line	:	3750 W 16TH AVE
Second Line	:	SUITE 110
City	:	HIALEAH
State	:	FL
Zip	:	33012-4654
Country	:	US
Telephone Number	:	305-558-3220
Fax Number	:	305-558-3136

Provider Business Practice Location Address
First Line	:	3750 W 16TH AVE
Second Line	:	SUITE#110
City	:	HIALEAH
State	:	FL
Zip	:	33012-4654
Country	:	US
Telephone Number	:	305-558-3220
Fax Number	:	305-558-3136

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

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	08/11/2014

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Directions to “ ANIA BENITEZ MD” Practice Location

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