Healthcare Provider Details

I. General information

NPI: 1639274939
Provider Name (Legal Business Name): MARIBEL BENAVIDES BARREIRO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 S COL ROWE
MCALLEN TX
78503
US

IV. Provider business mailing address

2101 S COL ROWE
MCALLEN TX
78503
US

V. Phone/Fax

Practice location:
  • Phone: 956-618-7100
  • Fax: 956-618-7122
Mailing address:
  • Phone: 956-618-7100
  • Fax: 956-618-7122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License NumberL3241
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: