DR. ALEXANDRE MIGUEL BENJO (NPI# 1164606448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164606448 |
| Entity Type | Individual |
| Full Name | DR. ALEXANDRE MIGUEL BENJO |
| Credential | MD |
| Practice Address |
1714 W Anklam Rd Suite #104 Tucson AZ 85745-2689 |
| Mailing Address |
3709 N Campbell Ave Ste 201 Tucson AZ 85719-1563 |
| Practice Telephone | 5208383540 |
| Practice Fax Number | 5203253526 |
| Mailing Telephone | 5203203918 |
| Enumeration Date | 2007-12-22 |
| Last Update Date | 2017-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
23004 | MS | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
505941 | AZ | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
MD206266 | LA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2334018 | 05 | |
| MS | 08985016 | 05 |
| Street Address |
1714 W ANKLAM RD SUITE #104 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85745-2689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053399881 | John E. Boulet | Internal Medicine | 1714 W Anklam Rd, Suite 104, Tucson, AZ 85745-2689 | 2006-01-03 |
| 1720522774 | Rachel Knight | Registered Nurse | 1714 W Anklam Rd, Tucson, AZ 85745-2689 | 2016-12-10 |
| 1508054321 | Gerlinde S. Tynan, Md Pllc | Surgery | 1714 W Anklam Rd, Suite 100, Tucson, AZ 85745-2689 | 2007-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629540679 | El Rio Santa Cruz Neighborhood Health Center Inc | Pharmacy | 839 W Congress, Tucson, AZ 85745 | 2018-12-31 |
| 1194230672 | Pascua Yaqui Tribe | Community/Behavioral Health | 1701 W. St. Mary's Road, Suite 120, Tucson, AZ 85745 | 2017-12-06 |
| 1891207106 | Intermountain Health Center, Inc. | Community/Behavioral Health | 1100 W. Fresno Street, Tucson, AZ 85745 | 2017-10-26 |
| 1497270664 | Skin Concierge, LLC. | Dermatology | 1310 W. St. Mary's Road, 2nd Floor, Suite A, Tucson, AZ 85745 | 2017-08-09 |
| 1801334941 | Katie Flores | Physical Therapist | 1604 W St Mary's Rd, Tucson, AZ 85745 | 2017-02-09 |
| 1558717348 | Jeongfill Yun | Student in an Organized Health Care Education/Training Program | 8290 W Congress St., Tucson, AZ 85745 | 2016-05-11 |
| 1417317082 | Nebsource LLC | Durable Medical Equipment & Medical Supplies | 4890 W Camino De La Amapola, Tucson, AZ 85745 | 2016-02-25 |
| 1548661358 | Melinda Godoy | Pharmacist | 879 W Congress, Tucson, AZ 85745 | 2014-09-11 |
| 1811333925 | Asdb | Clinic/Center | 1200 West Speedway, Tucson, AZ 85745 | 2013-05-15 |
| 1669722385 | David L. Lewis | Counselor | 1779 W. St. Mary's Rd, Tucson, AZ 85745 | 2012-09-11 |
| Find all providers in zip 85745 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174023584 | Singh Cardiology, Pllc | Internal Medicine | 5170 E Glenn St Ste 130, Tucson, AZ 85712-7300 | 2018-02-13 |
| 1912405796 | Cardiac Cin of Tucson LLC | Internal Medicine | 5151 E Broadway Blvd Ste 1600a, Tucson, AZ 85711-3777 | 2018-01-26 |
| 1316942170 | Budi R. Bahureksa | Internal Medicine | 7620 N La Cholla Blvd, Tucson, AZ 85741-4201 | 2005-06-17 |
| 1437633799 | Pulse Cardiology, LLC | Internal Medicine | 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712-1053 | 2018-09-21 |
| 1497203350 | Angelica Lentner | Internal Medicine | 445 N Silverbell Rd Ste 202, Tucson, AZ 85745-2686 | 2016-09-20 |
| 1154642056 | Northwest Cardiology LLC | Internal Medicine | 6080 N La Cholla Blvd, Suite 200, Tucson, AZ 85741-3554 | 2010-06-15 |
| 1457670440 | Arthur R Menezes | Internal Medicine | 1714 W Anklam Rd Ste 104, Tucson, AZ 85745-2690 | 2010-05-31 |
| 1154580504 | Sulaiman Aziz Rathore | Internal Medicine | 6320 N La Cholla Blvd Ste 300, Tucson, AZ 85741-3552 | 2008-06-02 |
| 1487701496 | Arizona Heart & Vascular Institute | Internal Medicine | 7620 N La Cholla Blvd, Tucson, AZ 85741-4201 | 2007-01-04 |
| 1265510796 | Kapildeo Lotun | Internal Medicine | 1501 N Campbell Ave, Sarver Heart Center, Tucson, AZ 85724-0001 | 2006-11-01 |
| Find all providers in TUCSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.