Provider Demographics
NPI:1659511541
Name:BENAVIDES CORDERO, RODRIGO ALBERTO (MD)
Entity Type:Individual
Prefix:
First Name:RODRIGO
Middle Name:ALBERTO
Last Name:BENAVIDES CORDERO
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Gender:M
Credentials:MD
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Mailing Address - Street 1:75 FRANCIS ST
Mailing Address - Street 2:DEPARTMENT OF ANESTHESIOLOGY BWH
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-6110
Mailing Address - Country:US
Mailing Address - Phone:617-732-8218
Mailing Address - Fax:617-582-6131
Practice Address - Street 1:75 FRANCIS ST
Practice Address - Street 2:DEPARTMENT OF ANESTHESIOLOGY BWH
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6110
Practice Address - Country:US
Practice Address - Phone:617-732-8218
Practice Address - Fax:617-582-6131
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-04
Last Update Date:2015-12-03
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Provider Licenses
StateLicense IDTaxonomies
OH35120419207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology