| Rosabel Maria Bencomo Md Pa | |
|
6840 Sw 40th St Ste 209 Miami FL 33155-3756 | |
| (786) 800-2430 | |
| (305) 763-8379 |
| Full Name | Rosabel Maria Bencomo Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 6840 Sw 40th St Ste 209, Miami, Florida |
| Authorized Official Name and Position | Rosabel M Bencomo (PRESIDENT) |
| Authorized Official Contact | 7862228807 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosabel Maria Bencomo Md Pa 6840 Sw 40th St Ste 209 Miami FL 33155-3756 Ph: (786) 800-2430 | Rosabel Maria Bencomo Md Pa 6840 Sw 40th St Ste 209 Miami FL 33155-3756 Ph: (786) 800-2430 |
| NPI Number | 1295127611 |
|---|---|
| Provider Enumeration Date | 02/22/2015 |
| Last Update Date | 05/05/2023 |
| Medicare PECOS PAC ID | 7113237520 |
|---|---|
| Medicare Enrollment ID | O20151113000955 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295127611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME119272 (Florida) | Primary |
| Provider Name | Rosabel Maria Bencomo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003100066 PECOS PAC ID: 0244554905 Enrollment ID: I20150129000249 |
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