Alexandre Miguel Benjo (NPI# 1164606448, PAC ID# 2769612522) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1164606448 |
| PAC ID by PECOS | 2769612522 |
| Professional Enrollment ID | I20150717002527 |
| Full Name | Alexandre Miguel Benjo |
| Organization Legal Name | LAKESIDE HEART AND VASCULAR CENTER PLLC |
| Address |
2082 Mesquite Ave Suite 100a Lake Havasu City AZ 86403-6710 |
| Phone Number | 9284532727 |
| Gender | M |
| Graduation Year | 1996 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERVENTIONAL CARDIOLOGY |
| Group Practice PAC ID | 4587832779 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100002 | BETHESDA HOSPITAL INC |
| 030069 | HAVASU REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 601 N Congress Ave, Suite 402, Delray Beach, FL 33445-4639 | 5612781910 | CARDIOLOGY AND FITNESS MEDICINE LLC |
| 2082 Mesquite Ave, Suite 100a, Lake Havasu City, AZ 86403-6710 | 9284532727 | LAKESIDE HEART AND VASCULAR CENTER PLLC |
| Organization Legal Name | LAKESIDE HEART AND VASCULAR CENTER PLLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven Correa | Internal Medicine | Lakeside Heart and Vascular Center Pllc | 2082 Mesquite Ave, Suite 100a, Lake Havasu City, AZ 86403-6710 |
| Patricia Gwen Folden | Nurse Practitioner | Lakeside Heart and Vascular Center Pllc | 2082 Mesquite Ave, Suite 100a, Lake Havasu City, AZ 86403-6710 |
| George M Garcia | Cardiovascular Disease (cardiology) | Lakeside Heart and Vascular Center Pllc | 2082 Mesquite Ave, Suite 100a, Lake Havasu City, AZ 86403-6710 |
| Fadi Nmi Atassi | Cardiovascular Disease (cardiology) | Lakeside Heart and Vascular Center Pllc | 1200 W Mohave Rd, Parker, AZ 85344-6349 |
| Paul A Mahnke | Nurse Practitioner | Lakeside Heart and Vascular Center Pllc | 2082 Mesquite Ave, Suite 100a, Lake Havasu City, AZ 86403-6710 |
| Street Address |
2082 MESQUITE AVE SUITE 100A |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip | 86403-6710 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristy M Whelan | Family Medicine | 2082 Mesquite Ave, Suite 106a, Lake Havasu City, AZ 86403-6710 | |
| Steven Correa | Internal Medicine | Lakeside Heart and Vascular Center Pllc | 2082 Mesquite Ave, Suite 100a, Lake Havasu City, AZ 86403-6710 |
| Roberto De Alba Cervera | Cardiac Surgery | 2082 Mesquite Ave, Suite 104, Lake Havasu City, AZ 86403-6710 | |
| Megan M Randall | Nurse Practitioner | Cornerstone Family Healthcare | 2082 Mesquite Ave, Suite 106, Lake Havasu City, AZ 86403-6710 |
| Patricia Gwen Folden | Nurse Practitioner | Lakeside Heart and Vascular Center Pllc | 2082 Mesquite Ave, Suite 100a, Lake Havasu City, AZ 86403-6710 |
| Shirley Noronha | Internal Medicine | 2082 Mesquite Ave, Suite 106, Lake Havasu City, AZ 86403-6710 | |
| George M Garcia | Cardiovascular Disease (cardiology) | Lakeside Heart and Vascular Center Pllc | 2082 Mesquite Ave, Suite 100a, Lake Havasu City, AZ 86403-6710 |
| Elizabeth Smith Tryon | Internal Medicine | 2082 Mesquite Ave, Suite 106, Lake Havasu City, AZ 86403-6710 | |
| Teresa J Tibbetts | Family Medicine | 2082 Mesquite Ave, Suite 106a, Lake Havasu City, AZ 86403-6710 | |
| Kasey A Cox | Nurse Practitioner | Cornerstone Family Healthcare | 2082 Mesquite Ave, Suite 106, Lake Havasu City, AZ 86403-6710 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Essa J Sidiqi | Family Medicine | Lake Havasu Primary Care Pllc | 89 Civic Ctr Ln, Lake Havasu City, AZ 86403-0810 |
| Harley Finkle | Chiropractic | 1674 Mcculloch Blvd N, Lake Havasu City, AZ 86403-0962 | |
| Mary Ann Widman | Nurse Practitioner | Hrmc, LLC | 1799 Kiowa Ave, Suite 104, Lake Havasu City, AZ 86403-2867 |
| Paul E Klein | Nurse Practitioner | Hrmc, LLC | 1799 Kiowa Ave, Suite 104, Lake Havasu City, AZ 86403-2867 |
| Annette Baccus | Nurse Practitioner | Havasu Regional Medical Center LLC | 1799 Kiowa Ave, Suite 104, Lake Havasu City, AZ 86403-2867 |
| Christian L Grandell | Physician Assistant | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Peter H Dux | Family Medicine | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Jeffrey J Carls | Family Medicine | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Lisa V Williams | Physician Assistant | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Bridget C Conley | Physician Assistant | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Find all physicians in zip 86403 | |||
| City | LAKE HAVASU CITY |
| Zip Code | 86403 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | LAKE HAVASU CITY + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Alexandre Miguel Benjo.
| 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.