DR. ABRAHAM BENAVIDES MD
NPI 1952864274
Student in an Organized Health Care Education/Training Program in Pueblo, CO

Q: What is Abraham Benavides's NPI number?

The NPI number for Abraham Benavides is 1952864274. It was assigned to this individual provider in the NPPES registry on April 12, 2019.

Q: What is Abraham Benavides's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Abraham Benavides was last updated on May 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 12, 2019

902 LAKEVIEW AVE, PUEBLO, CO 81004(719) 557-5872(719) 557-4780 Get Directions Write a Review

NPPES record last updated: May 28, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 28, 2019, Apr 15, 2019, Apr 12, 2019 (3 updates tracked since 2019).

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About Dr. Abraham Benavides Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ABRAHAM BENAVIDES MD (NPI 1952864274) is an individual student in an organized health care education/training program in Pueblo, Colorado, licensed in Colorado (TL.0007818) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1952864274

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. ABRAHAM BENAVIDESCredential: MD

Location Address902 LAKEVIEW AVEPueblo, CO 81004-3597

Mailing Address902 Lakeview AvePueblo, CO 81004-3597

Phone(719) 557-5872

Fax(719) 557-4780

Sole ProprietorNo

Enumeration DateApril 12, 2019

Last NPPES UpdateMay 28, 20193 updates tracked since enumeration

✔ NPI 1952864274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in CO · TL.0007818

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedFamily MedicineTaxonomy 207Q00000X · License TL.0007818 (CO)

902 LAKEVIEW AVE, Pueblo, CO 81004

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CAMILA TERESA ROBLES DO

Family Medicine