Provider Demographics
NPI:1528078201
Name:BENITEZ, OSCAR RAFAEL (MD)
Entity type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:RAFAEL
Last Name:BENITEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 CALLE ARZUAGA
Mailing Address - Street 2:RPM NO 247
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00925-3701
Mailing Address - Country:US
Mailing Address - Phone:787-634-1565
Mailing Address - Fax:
Practice Address - Street 1:5 CALLE ARZUAGA
Practice Address - Street 2:RPM NO 247
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00925-3701
Practice Address - Country:US
Practice Address - Phone:787-634-1565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5206208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice