1760814925 NPI number — EDUARDO BENCHIMOL SAAD MD, PHD

Table of content: EDUARDO BENCHIMOL SAAD MD, PHD (NPI 1760814925)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760814925 NPI number — EDUARDO BENCHIMOL SAAD MD, PHD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SAAD
Provider First Name:
EDUARDO
Provider Middle Name:
BENCHIMOL
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD, PHD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1760814925
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/10/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
AV BORGES DE MEDEIROS 3407
Provider Second Line Business Mailing Address:
301
Provider Business Mailing Address City Name:
RIO DE JANEIRO
Provider Business Mailing Address State Name:
RJ
Provider Business Mailing Address Postal Code:
22470001
Provider Business Mailing Address Country Code:
BR
Provider Business Mailing Address Telephone Number:
552181591000
Provider Business Mailing Address Fax Number:
552122479610

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
185 PILGRIM RD # BAKER4
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BOSTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02215-5324
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-667-8800
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/30/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RC0001X , with the licence number:  1013222 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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