Dr Abraham Benavides, MD is a
Student In An Organized Health Care Education/training Program physician based in Pueblo, Colorado. Dr Abraham Benavides is licensed to practice in Colorado (license number TL.0007818) and his current practice location is 902 Lakeview Ave, Pueblo, Colorado. He can be reached at his office (for appointments etc.) via phone at
(719) 557-5872.
NPI number for Dr Abraham Benavides is 1952864274 and his current mailing address is 902 Lakeview Ave, Pueblo, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1952864274.
Physician's Profile
| Full Name | Dr Abraham Benavides |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 902 Lakeview Ave, Pueblo, Colorado |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1952864274
- Provider Enumeration Date: 04/12/2019
- Last Update Date: 05/28/2019
Medical Identifiers
Medical identifiers for Dr Abraham Benavides such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952864274 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | TL.0007818 (Colorado) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | TL.0007818 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Abraham Benavides is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Abraham Benavides, MD
902 Lakeview Ave,
Pueblo, CO 81004-3597
Ph: () - | Dr Abraham Benavides, MD
902 Lakeview Ave,
Pueblo, CO 81004-3597
Ph: (719) 557-5872 |
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