Dr Julian R Benavidez, MD | |
1010 Spruce St, Espanola, NM 87532-2724 | |
(505) 753-7111 | |
Not Available |
Full Name | Dr Julian R Benavidez |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1010 Spruce St, Espanola, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336670405 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD2020-0556 (New Mexico) | Secondary |
208000000X | Pediatrics | DR.0063829 (Colorado) | Primary |
Entity Name | Presbyterian Healthcare Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
Mailing Address | Practice Location Address |
---|---|
Dr Julian R Benavidez, MD 8501 E Alameda Avenue, Unit 1316, Denver, CO 80230 Ph: () - | Dr Julian R Benavidez, MD 1010 Spruce St, Espanola, NM 87532-2724 Ph: (505) 753-7111 |
Dr. Margaret Fox, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 N Paseo De Onate, Espanola, NM 87532 Phone: 505-231-0652 | |
Rebecca Jane Wallig, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 Spruce St, Espanola, NM 87532 Phone: 505-367-0340 | |
Chelsea D Kirby, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1010 Spruce St, Espanola Multispecialty Clinic, Espanola, NM 87532 Phone: 505-753-8031 Fax: 505-753-7433 | |
David Michael King, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 Spruce St, Espanola, NM 87532 Phone: 505-367-0346 | |
James Lewis Mcneil, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1010 Spruce St, Locum Tenens, Espanola, NM 87532 Phone: 505-367-0361 Fax: 505-367-0320 | |
Amelia Brooks Kreienkamp, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 Spruce St, Espanola, NM 87532 Phone: 505-753-7111 |