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NPI Code Detail

MEDICARE: GABRIELA BENITEZ

MEDICARE:   GABRIELA  BENITEZ
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1144177148
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIELA BENITEZ
Provider Business Mailing Address
First Line : 3950 N A W GRIMES BLVD
Second Line :
City : ROUND ROCK
State : TX
Zip : 78665-3540
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3950 N A W GRIMES BLVD
Second Line :
City : ROUND ROCK
State : TX
Zip : 78665-3540
Country : US
Telephone Number : 832-520-6377
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2026
Last Update Date : 03/11/2026

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Directions to “ GABRIELA BENITEZ ” Practice Location

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