MEDICARE: SAMANTHA 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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1154007730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMANTHA BENITEZ

Provider Business Mailing Address
First Line	:	2805 S INDUSTRIAL HWY STE 100
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48104-6791
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10131 COORS BLVD NW STE I1
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87114-4048
Country	:	US
Telephone Number	:	505-336-0560
Fax Number	:

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

Provider Enumeration Date	:	06/27/2023
Last Update Date	:	03/16/2026

Similar Medicare Providers

1215525902 — AUGUST VOJDANI PA-C
Practice Location Address:

4588 PARADISE BLVD NW , MEDICARE ADVANTAGE CLINIC
ALBUQUERQUE, NM
87114-4105

Practice Phone: 505-998-1840
Practice Fax: 505-998-1841

1902753114 — COTTONWOOD HOME HEALTH CARE LLC
Practice Location Address:

10131 COORS BLVD NW STE H8
ALBUQUERQUE, NM
87114-4048

Practice Phone: 505-207-4099
Practice Fax:

1528429438 — COTTONWOOD FAMILY MEDICINE LLC
Practice Location Address:

10131 COORS BLVD NW STE H8
ALBUQUERQUE, NM
87114-4048

Practice Phone: 505-207-9044
Practice Fax:

1669885182 — KATIE BOYLAN FNP
Practice Location Address:

10131 COORS BLVD NW STE H8
ALBUQUERQUE, NM
87114-4048

Practice Phone: 505-207-9044
Practice Fax:

1780772418 — MS. LORA LORAY SMALLEY LMFT
Practice Location Address:

10131 COORS BLVD NW STE H8
ALBUQUERQUE, NM
87114-4048

Practice Phone: 505-900-5084
Practice Fax:

1629610597 — CIMA VENTURES, LLC
Practice Location Address:

10131 COORS BLVD NW STE H7
ALBUQUERQUE, NM
87114-4048

Practice Phone: 505-217-9118
Practice Fax:

Directions to “ SAMANTHA BENITEZ ” 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.