IDALIA IVANNA BENAVIDES (NPI# 1306945415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306945415 |
| Entity Type | Individual |
| Full Name | IDALIA IVANNA BENAVIDES |
| Credential | M.D. |
| Practice Address |
161 Tommins Ave. San Antonio TX 78214 |
| Mailing Address |
161 Tommins Ave San Antonio TX 78214-1251 |
| Practice Telephone | 2109249718 |
| Practice Fax Number | 2109210807 |
| Mailing Telephone | 2108271223 |
| Mailing Fax Number | 2109210807 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2010-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | L6286 | TX | Other Service Providers |
| Street Address |
161 TOMMINS AVE. |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104380245 | Mission Event Senior Center LLC | Clinic/Center | 5614 South Flores Street, San Antonio, TX 78214 | 2019-01-23 |
| 1396239497 | Allen Ray Williams II | Chiropractor | 6000 Farm To Market 3009, Ste 200, San Antonio, TX 78214 | 2018-06-21 |
| 1326482027 | Rolando Gonzalez | Specialist/Technologist, Other | 1131 91st St, San Antonio, TX 78214 | 2013-04-24 |
| 1235425463 | Roberto Issac Cortez | Dentist | 3454 Roosevelt Avenue, San Antonio, TX 78214 | 2011-06-27 |
| 1104110501 | Mission Plaza Dental Pllc | Dentist | 3454 Roosevelt Ave., San Antonio, TX 78214 | 2011-06-02 |
| 1982904561 | Amir Ahmed | Pharmacist | 119 Huizar Street, Cyctic Fibrosis Services, San Antonio, TX 78214 | 2010-10-28 |
| 1962734160 | J. Andrew Jackson, D.d.s. Ltd., LLP | Dentist | 600 Division, Suite E., San Antonio, TX 78214 | 2010-02-12 |
| 1881805653 | Bruce Lee Vetters | Dentist | 6619 S Flores, San Antonio, TX 78214 | 2007-05-24 |
| 1053403147 | John D Cochran Dds Inc | Dentist | 5713 South Flores, San Antonio, TX 78214 | 2006-09-28 |
| 1598134157 | Erin Forsythe | Physical Therapist | 730 Pleasanton Rd, San Antonio, TX 78214 | 2015-09-24 |
| Find all providers in zip 78214 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568904175 | Ashlee Anderjeski | Specialist | 10218 Castello Cyn, San Antonio, TX 78254-4551 | 2016-11-14 |
| 1831641059 | Lone Star Cardiovascular Center Pllc | Specialist | 9130 Wurzbach Rd Ste 104, San Antonio, TX 78240-1070 | 2016-11-04 |
| 1851753396 | Coral Ramirez Camacho | Specialist | 7827 Clos Du Bois, San Antonio, TX 78253-4880 | 2016-03-23 |
| 1174984371 | Crossover Health | Specialist | 3838 Rogers Rd, San Antonio, TX 78251-3662 | 2016-03-15 |
| 1033585948 | Job Adventures | Specialist | 4606 Centerview Ste 200, San Antonio, TX 78228-1205 | 2015-08-14 |
| 1790168417 | San Antonio Head & Neck Surgical Associates | Specialist | 926 Booklyn Ave, San Antonio, TX 78215-1637 | 2015-06-30 |
| 1255738514 | Amy Beth Flores | Specialist | 7134 Washita Way, San Antonio, TX 78256-2339 | 2014-12-01 |
| 1730582263 | Womens Center At Westover Hills | Specialist | 1315 N. Ellison Dr., San Antonio, TX 78251 | 2014-09-29 |
| 1811396799 | Intravascular Access Team | Specialist | 8415 Fredericksburg Rd, Unit 906, San Antonio, TX 78229-3173 | 2014-08-17 |
| 1497164990 | Next Generation Orthopedic & Spine Institute, Pllc | Specialist | 1626 Lockhill Selma Rd, Suite 2, San Antonio, TX 78213-1929 | 2014-08-08 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78214 |
Please comment or provide details below to improve the information on IDALIA IVANNA BENAVIDES.
| 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.