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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. RICHARD BRUCE DEBENEDETTO, M.D.

Active Sole Proprietor

DR. RICHARD BRUCE DEBENEDETTO, M.D. is a Emergency Medical Services healthcare provider located in SOUTH PADRE ISLAND, Texas. NPI 1679549513 is currently active in the NPPES registry. Verify at CMS.

Emergency Medical Services · SOUTH PADRE ISLAND, TX

Registration Details

NPI Number
1679549513
Provider Type
Individual
Gender
Male
NPI Issued
Feb 28, 2006 (20.474960830393 yrs)
Last Updated
Oct 3, 2013
Licenses
J9579 (TX)
J9579 (TX)
Sole Proprietor
Yes

Practice Information

Address
2217 PADRE BLVD
SOUTH PADRE ISLAND, TX, 78597
Browse TX providers · Browse ZIP 78597
Phone
9567614649
Fax
8665941025
Primary Specialty
Emergency Medical Services
207PE0004X
Additional Specialty
Internal Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.