Individual provider Active NPI

Rosabel Maria Bencomo, M.D.

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1003100066
Registry record updated Jan 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME119272 Issued in FL
Practice address
6840 SW 40TH St Ste 209
Miami, FL 33155-3756
Phone
(786) 222-8807
Fax
(305) 763-8379
NPI assigned
Jun 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME119272 FL Primary

Addresses

Primary practice location

6840 SW 40TH St Ste 209
Miami, FL 33155-3756

Mailing address

6840 SW 40TH St Ste 209
Miami, FL 33155-3756
Phone (786) 222-8807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150129000249 FL Practitioner - Family Practice 0244554905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6840 SW 40TH St
Suite 209
Miami, FL 33155-3756
Phone (786) 222-8807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Helpmygene Family Medicine Current Accepting new patients

Locations

6840 SW 40th St
Ste 209
Miami, FL 33155
Phone (786) 222-8807

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578787200000",
    "number": "1003100066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6840 SW 40TH ST STE 209",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553756",
            "telephone_number": "786-222-8807",
            "fax_number": "305-763-8379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6840 SW 40TH ST STE 209",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553756",
            "telephone_number": "786-222-8807",
            "fax_number": "305-763-8379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENCOMO",
        "first_name": "ROSABEL",
        "middle_name": "MARIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-07",
        "last_updated": "2020-01-12",
        "certification_date": "2020-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME119272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.