JUSTIN BENAVIDES NPI 1659191203

NPI Information

  • NPI: 1659191203
  • Provider Name: JUSTIN BENAVIDES
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 14317 POTRANCO RD STE 207
    SAN ANTONIO, TX
    ZIP 78253
  • Phone: (726) 200-2499

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NPI Details

Justin Benavides is a family nurse practitioner in San Antonio, TX with 2 years of experience. Justin Benavides NPI is 1659191203. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

14317 POTRANCO RD STE 207
SAN ANTONIO, TX
ZIP 78253-126
Phone: (726) 200-2499

The NPI 1659191203 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/16/2024 and was last updated on 4/24/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily1178129TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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