Provider Demographics
NPI:1265852834
Name:BENITEZ, BEATRIZ (OTR)
Entity Type:Individual
Prefix:
First Name:BEATRIZ
Middle Name:
Last Name:BENITEZ
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4108 NE 21ST CT
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-5358
Mailing Address - Country:US
Mailing Address - Phone:786-548-9251
Mailing Address - Fax:
Practice Address - Street 1:8410 SW 202ND ST
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33189-2036
Practice Address - Country:US
Practice Address - Phone:305-300-6936
Practice Address - Fax:305-402-2433
Is Sole Proprietor?:No
Enumeration Date:2014-04-22
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT23938225X00000X
FLOTA11222224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant