Provider Demographics
NPI:1912186073
Name:RICARDO BENENSTEIN PA
Entity Type:Organization
Organization Name:RICARDO BENENSTEIN PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:BENENSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-881-5619
Mailing Address - Street 1:PO BOX 453703
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33245-3703
Mailing Address - Country:US
Mailing Address - Phone:917-881-5619
Mailing Address - Fax:305-447-9470
Practice Address - Street 1:2025 BRICKELL AVE
Practice Address - Street 2:SUITE 903
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33129-1743
Practice Address - Country:US
Practice Address - Phone:917-881-5619
Practice Address - Fax:305-447-9470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-25
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME99451207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME99451OtherMEDICAL LICENSE
FL=========OtherEIN NUMBER
FLME99451OtherMEDICAL LICENSE