Marie Antoinette Benavidez, CCP, LP

Primary specialty

PerfusionistTaxonomy code 242T00000X

License

FPF02000054 Issued in TX

Practice address

3463 Magic Dr Ste T21
San Antonio, TX 78229-3621

Phone

(212) 210-7123

NPI assigned

Sep 11, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1104309533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 KINGBIRD CT",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782454463",
            "telephone_number": "210-712-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3463 MAGIC DR STE T21",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293621",
            "telephone_number": "212-210-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENAVIDEZ",
        "first_name": "MARIE",
        "middle_name": "ANTOINETTE",
        "credential": "CCP, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "242T00000X",
            "taxonomy_group": "",
            "desc": "Perfusionist",
            "state": "TX",
            "license": "FPF02000054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudileth Benavidez
• Cristina Benavidez, LPC
• Hannah Elizabeth Parker Benavidez, FNP-BC
• Jasmin Benavidez
• John Joseph Benavidez II, DPT
• Stephanie Jo Benavidez, LVN
• Donna Jean Benaya
• Marshall J Benbow, M.D.
• Margaret Bencomo-Rivera, PSY.D.
• Alexis Loren Bendele, PHARMD

• Perfusionist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Perfusionist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.