Marisol D Benavidez (NPI# 1891983888, PAC ID# 5597931758) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1891983888 |
| PAC ID by PECOS | 5597931758 |
| Professional Enrollment ID | I20120110000541 |
| Full Name | Marisol D Benavidez |
| Organization Legal Name | NUESTRA CLINICA DEL VALLE, INC. |
| Address |
801 W 1st St San Juan TX 78589-2276 |
| Phone Number | 9567878915 |
| Gender | F |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 2004 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8921916552 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450869 | DOCTORS HOSPITAL AT RENAISSANCE |
| 450119 | SOUTH TEXAS HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 801 W 1st St, San Juan, TX 78589-2276 | 9567878915 | NUESTRA CLINICA DEL VALLE, INC. |
| 806 W 3rd St, Nuestra Clinica Del Valle Inc, San Juan, TX 78589-2276 | 9567828846 | NUESTRA CLINICA DEL VALLE, INC. |
| Organization Legal Name | NUESTRA CLINICA DEL VALLE, INC. |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Juan Jose Carrales | Physician Assistant | Nuestra Clinica Del Valle, Inc. | 1500 W 1st St, Mercedes, TX 78570-2551 |
| Monica Javier Reyna | Physician Assistant | Nuestra Clinica Del Valle, Inc. | 105 S 10th St, Donna, TX 78537-3201 |
| Manika Jha | Family Medicine | Nuestra Clinica Del Valle, Inc. | 801 W 1st St, San Juan, TX 78589-2276 |
| Judith Wojtowicz | Nurse Practitioner | Nuestra Clinica Del Valle, Inc. | 1518 E Santa Rosa, Nuestra Clinica Del Valle, Edcouch, TX 78538 |
| Anna L Alquiza | Internal Medicine | Nuestra Clinica Del Valle, Inc. | 611 N Bryan Rd, Mission, TX 78572-6285 |
| Christopher Schofield | Physician Assistant | Nuestra Clinica Del Valle, Inc. | 1500 W 1st St, Mercedes, TX 78570-2551 |
| Brian Wickwire | Internal Medicine | Nuestra Clinica Del Valle, Inc. | 1500 W 1st St, Mercedes, TX 78570-2551 |
| Rosa A Vallejo-loza | Nurse Practitioner | Nuestra Clinica Del Valle, Inc. | 801 W 1st St, San Juan, TX 78589-2276 |
| Jessenya L Falcon | Physician Assistant | Nuestra Clinica Del Valle, Inc. | 1500 W 1st St, Mercedes, TX 78570-2551 |
| Ventzislav D Vanguelov | Obstetrics/gynecology | Nuestra Clinica Del Valle, Inc. | 801 W 1st St, San Juan, TX 78589-2276 |
| Street Address |
801 W 1ST ST |
| City | SAN JUAN |
| State | TX |
| Zip | 78589-2276 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Manika Jha | Family Medicine | Nuestra Clinica Del Valle, Inc. | 801 W 1st St, San Juan, TX 78589-2276 |
| Rosa A Vallejo-loza | Nurse Practitioner | Nuestra Clinica Del Valle, Inc. | 801 W 1st St, San Juan, TX 78589-2276 |
| Ventzislav D Vanguelov | Obstetrics/gynecology | Nuestra Clinica Del Valle, Inc. | 801 W 1st St, San Juan, TX 78589-2276 |
| Cynthia M Rios | Nurse Practitioner | Nuestra Clinica Del Valle, Inc. | 801 W 1st St, San Juan, TX 78589-2276 |
| Carlos A Medina | Family Medicine | Nuestra Clinica Del Valle, Inc. | 801 W 1st St, San Juan, TX 78589-2276 |
| Michele M Jackson | Nurse Practitioner | Nuestra Clinica Del Valle, Inc. | 801 W 1st St, San Juan, TX 78589-2276 |
| Tania Morales | Nurse Practitioner | Nuestra Clinica Del Valle, Inc. | 801 W 1st St, San Juan, TX 78589-2276 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nelson A Mata | Internal Medicine | 603 S Nebraska Ave, San Juan, TX 78589-2647 | |
| Americo M Baca | Family Medicine | 722 S Nebraska Ave, San Juan, TX 78589-2650 | |
| Wentia W Ford | Physician Assistant | Dr Americo M Baca Pllc | 722 S Nebraska Ave, San Juan Family Clinic, San Juan, TX 78589-2650 |
| Oscar R Vela | Physician Assistant | Villarreal Medical Center Pa | 3006 N Raul Longoria Rd, San Juan, TX 78589-3676 |
| Victor Romeo Villarreal | General Practice | Villarreal Medical Center Pa | 3006 N Raul Longoria Rd, San Juan, TX 78589-3676 |
| Jessica L Saenz | Physician Assistant | Villarreal Medical Center Pa | 3006 N Raul Longoria Rd, San Juan, TX 78589-3676 |
| Amy L Gutierrez | Speech Language Pathologist | Pinnacle Health Rehab LLC | 1201 N Raul Longo Ria Rd, Dsuite P, San Juan, TX 78589-3728 |
| City | SAN JUAN |
| Zip Code | 78589 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SAN JUAN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Marisol D Benavidez.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.