| NPI | 1972584878 |
|---|---|
| Former Name | JOSE L BENITEZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PR 8744) |
| Additional Taxonomies | 332H00000X Eyewear Supplier |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2024-04-15 |