Provider Demographics
NPI:1902384506
Name:BENIQUEZ RAMIREZ, DOHANIES MARIE (LND)
Entity Type:Individual
Prefix:
First Name:DOHANIES
Middle Name:MARIE
Last Name:BENIQUEZ RAMIREZ
Suffix:
Gender:F
Credentials:LND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE ARECA
Mailing Address - Street 2:CONDOMINIO MONTE SOL APT 1204
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00096
Mailing Address - Country:US
Mailing Address - Phone:787-309-5959
Mailing Address - Fax:
Practice Address - Street 1:AVENIDA BORINQUEN
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00915
Practice Address - Country:US
Practice Address - Phone:787-309-5959
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-06
Last Update Date:2018-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2059133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist