Provider Demographics
NPI:1548745367
Name:BENITEZ, REBEKAH MARIE
Entity Type:Individual
Prefix:DR
First Name:REBEKAH
Middle Name:MARIE
Last Name:BENITEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:REBEKAH
Other - Middle Name:MARIE
Other - Last Name:PLUMLEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:5142 ASHTON AUDREY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-1792
Mailing Address - Country:US
Mailing Address - Phone:210-882-0012
Mailing Address - Fax:
Practice Address - Street 1:7400 MERTON MINTER ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4404
Practice Address - Country:US
Practice Address - Phone:210-882-0012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-27
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX591761835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist