=====================================================
General NPI Number Information
=====================================================
NPI Number | 1811847007
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BENAVIDES DENTAL GROUP.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/29/2026
-----------------------------------------------------
Last Update Date | 01/29/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 742 WEST 49 STREET
-----------------------------------------------------
City | HIALEAH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33012
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-534-9216
-----------------------------------------------------
Fax | 786-534-9221
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 742 WEST 49 STREET
-----------------------------------------------------
City | HIALEAH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33012
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-534-9216
-----------------------------------------------------
Fax | 786-534-9221
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | ALINA CARIDAD BENAVIDES RODRIG
-----------------------------------------------------
Credential | DDS
-----------------------------------------------------
Telephone | 786-534-9216
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223G0001X
-----------------------------------------------------
Taxonomy Name | General Practice Dentistry
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------