IndividualActive
Marie Benavidez, CCP, LP
NPI 1104309533 · Perfusionist · San Antonio, TX
Provider details
- NPI number
- 1104309533
- Entity type
- Individual
- Primary specialty
- PerfusionistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CCP, LP
- Sex
- Female
- Sole proprietor
- No
- License
- FPF02000054 (TX)
Practice location
3463 Magic Dr Ste T21
San Antonio, TX 78229-3621
Phone: (212) 210-7123
Mailing address
1303 Kingbird Ct
San Antonio, TX 78245-4463
Registry dates
- Enumerated
- 2018-09-11
- Last updated
- 2018-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.