| Benjamin Mena, M.D. P.A. | |
|
2835 W De Leon St Suite 104 Tampa FL 33609-4130 | |
| (813) 443-0606 | |
| (813) 443-0608 |
| Full Name | Benjamin Mena, M.D. P.A. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2835 W De Leon St, Tampa, Florida |
| Authorized Official Name and Position | Benjamin Mena (OWNER) |
| Authorized Official Contact | 8134430606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Mena, M.D. P.A. 2835 W De Leon St Suite 104 Tampa FL 33609-4130 Ph: (813) 443-0606 | Benjamin Mena, M.D. P.A. 2835 W De Leon St Suite 104 Tampa FL 33609-4130 Ph: (813) 443-0606 |
| NPI Number | 1316253982 |
|---|---|
| Provider Enumeration Date | 08/20/2010 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 9537358221 |
|---|---|
| Medicare Enrollment ID | O20110111000933 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316253982 | NPI | - | NPPES |
| 7904315 | Other | FL | AETNA |
| 78355 | Other | FL | BCBS |
| 10919106 | Other | FL | CAQH ID |
| 6116907 | Other | FL | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME98740 (Florida) | Primary |
| Provider Name | Benjamin Nmn Mena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659359420 PECOS PAC ID: 7113950205 Enrollment ID: I20080116000036 |
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