Provider Demographics
NPI:1629666136
Name:BENITEZ, RUBEN (APRN)
Entity Type:Individual
Prefix:
First Name:RUBEN
Middle Name:
Last Name:BENITEZ
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:937 NW 132ND AVE W
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33182-2313
Mailing Address - Country:US
Mailing Address - Phone:786-344-0398
Mailing Address - Fax:
Practice Address - Street 1:937 NW 132ND AVE W
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33182-2313
Practice Address - Country:US
Practice Address - Phone:786-344-0398
Practice Address - Fax:786-542-6978
Is Sole Proprietor?:No
Enumeration Date:2021-01-10
Last Update Date:2021-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11008769363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily