Individual ProviderLoretta Monique Mascarenas-BenavidezCase Manager/Care CoordinatorOther Service ProvidersPractice Address820 Louisiana Blvd SE Apt 513, Albuquerque, NM 87108-3952(505) 712-7424PECOS EnrollmentBased on the most recent information from CMS, provider Loretta Monique Mascarenas-Benavidez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1174798359Provider TypeIndividualFull NameMascarenas-Benavidez, Loretta MoniqueTitleMs.GenderFemaleSole ProprietorYesEnumeration Date4/28/2008Last Updated4/28/2008Contact InformationPractice LocationPractice Address820 Louisiana Blvd SE Apt 513, Albuquerque, NM 87108-3952Phone(505) 712-7424Fax(505) 232-6621Mailing LocationMailing Address820 Louisiana Blvd SE Apt 513, Albuquerque, NM 87108-3952Phone(505) 712-7424Fax(505) 232-6621Provider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer