IndividualActive
Nicolas Benitez
NPI 1053708156 · Athletic Trainer · Providence, RI
Provider details
- NPI number
- 1053708156
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- AT00374 (RI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
235 Hope St
Providence, RI 02912-9090
Phone: (401) 863-3851
Approximate (ZIP-level) locationGet directions
Mailing address
235 Hope St
Providence, RI 02912-9090
Registry dates
- Enumerated
- 2015-04-16
- Last updated
- 2015-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.