Provider Demographics
NPI:1306727185
Name:BENITEZ, RONALD VENTURA (PT,DPT)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:VENTURA
Last Name:BENITEZ
Suffix:
Gender:M
Credentials:PT,DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 N GRIMES ST STE C
Mailing Address - Street 2:
Mailing Address - City:HOBBS
Mailing Address - State:NM
Mailing Address - Zip Code:88240-1816
Mailing Address - Country:US
Mailing Address - Phone:575-392-4129
Mailing Address - Fax:844-292-4019
Practice Address - Street 1:2700 N GRIMES ST STE C
Practice Address - Street 2:
Practice Address - City:HOBBS
Practice Address - State:NM
Practice Address - Zip Code:88240-1816
Practice Address - Country:US
Practice Address - Phone:575-392-4129
Practice Address - Fax:844-292-4019
Is Sole Proprietor?:No
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PT22066225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist