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General NPI Number Information
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NPI Number | 1265861769
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Entity Type | Individual
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Provider Name | JONATHAN BENITEZ-GONZALEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/05/2013
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Last Update Date | 08/14/2024
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Provider Practice Location Address
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Address Line | COND PORTALES DE RIO GRANDE E238
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City | RIO GRANDE
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State | PR
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Zip | 00745-8714
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Country | US
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Telephone | 787-758-2000
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Fax |
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Provider Business Mailing Address
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Address Line | COND PORTALES DE RIO GRANDE E238
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City | RIO GRANDE
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State | PR
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Zip | 00745
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Country | US
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Telephone | 787-758-2000
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 18934
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 18934
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 18934
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License Number State | PR
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Taxonomy #4
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 18934
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License Number State | PR
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