Provider Demographics
NPI:1285379594
Name:BENITEZ, ZENAIDA X (LMT)
Entity type:Individual
Prefix:
First Name:ZENAIDA
Middle Name:
Last Name:BENITEZ
Suffix:X
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92-59 CALLE 90
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00985-4141
Mailing Address - Country:US
Mailing Address - Phone:787-406-1855
Mailing Address - Fax:
Practice Address - Street 1:92-59 CALLE 90
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985-4141
Practice Address - Country:US
Practice Address - Phone:787-406-1855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-02
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist