Provider Demographics
NPI:1790569044
Name:BENITEZ, OSCAR R
Entity Type:Individual
Prefix:
First Name:OSCAR
Middle Name:R
Last Name:BENITEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2915 BISCAYNE BLVD STE 300-18
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-4155
Mailing Address - Country:US
Mailing Address - Phone:305-813-2662
Mailing Address - Fax:
Practice Address - Street 1:2915 BISCAYNE BLVD STE 300-18
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-4155
Practice Address - Country:US
Practice Address - Phone:305-813-2662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-18
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care