MEDICARE: BEVERLY BENAVIDEZ

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	171R00000X	Interpreter
2	171W00000X	Contractor	619004	CO
3	174H00000X	Health Educator
4	246Z00000X	Other Specialist/Technologist

General Provider Information

NPI Number	:	1114325248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BEVERLY BENAVIDEZ

Provider Business Mailing Address
First Line	:	2657 STONECROP RIDGE GRV
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80910-4459
Country	:	US
Telephone Number	:	719-291-8508
Fax Number	:

Provider Business Practice Location Address
First Line	:	2657 STONECROP RIDGE GRV
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80910-4459
Country	:	US
Telephone Number	:	719-291-8508
Fax Number	:

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

Provider Enumeration Date	:	12/04/2014
Last Update Date	:	12/04/2014

Similar Medicare Providers

1437271814 — SUNLIGHT PHYSICAL THERAPY SERVICES
Practice Location Address:

2600 S OAK HURST CT APT 4 , #4
GLENWOOD SPRINGS, CO
81601-4459

Practice Phone: 970-309-1992
Practice Fax:

1306108089 — MRS. TERI LYNN GAETHE LPC
Practice Location Address:

2130 GOVERNMENT STREET STE A
OCEAN SPRINGS, MS
39564-4459

Practice Phone: 614-477-5467
Practice Fax:

1013585553 — ANDREW N VAN DEVENDER MSW
Practice Location Address:

2705 COLD SPRINGS TRL SW
MARIETTA, GA
30064-4459

Practice Phone: 770-658-4431
Practice Fax:

1477576361 — ABILITIES UNLIMITED, INC.
Practice Location Address:

1330 INVERNESS DR STE 160
COLORADO SPRINGS, CO
80910-3745

Practice Phone: 719-520-9700
Practice Fax: 719-520-0218

1700723186 — YONG JI KIM
Practice Location Address:

340 PRINTERS PKWY
COLORADO SPRINGS, CO
80910-3190

Practice Phone: 719-344-6413
Practice Fax:

1235061078 — ENSEQUENCE CORP.
Practice Location Address:

1349 VERDE DR
COLORADO SPRINGS, CO
80910

Practice Phone: 720-910-8215
Practice Fax:

Directions to “ BEVERLY BENAVIDEZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.