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Contact Information

MARISOL D BENAVIDEZ, MD
801 W. 1ST STREET
SAN JUAN, TX78589
 Phone: 956-787-8915
 Fax: 956-787-2021
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MARISOL D BENAVIDEZ · (Female)

NPI Number 1891983888
Status Active
Credentials MD
Entity Individual
Enumeration date 10/04/2007
Last updated 08/31/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • TX License # M7855
  • TX Medicaid 297333101
  • TX Other TXB142923 MEDICARE
Hospital affiliation(s)
  • DOCTORS HOSPITAL AT RENAISSANCE - (Acute Care)
    5501 SOUTH MCCOLL
    EDINBURG, TX 78539
  • SOUTH TEXAS HEALTH SYSTEM - (Acute Care)
    1102 W TRENTON ROAD
    EDINBURG, TX 78539
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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