Active NPI
Rosabel Maria Bencomo MD PA
- Family Medicine Physician
- Miami, FL
National Provider Identifier
1295127611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME119272
- Legal business name
- ROSABEL MARIA BENCOMO MD PA
- Practice address
- 6840 SW 40TH St Ste 209
Miami, FL 33155-3756 - Phone
- (786) 800-2430
- Fax
- (305) 763-8379
- NPI assigned
- Feb 22, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rosabel M Bencomo, MD
- Title
- President
- Phone
- (786) 222-8807
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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) 800-2430
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6840 SW 40th St
Miami, FL 33155
Phone (305) 461-4702
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Miami, FL
- NPI 1003100066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683244800000",
"number": "1295127611",
"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": "786-800-2430",
"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": "786-800-2430",
"fax_number": "305-763-8379"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSABEL MARIA BENCOMO MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-22",
"last_updated": "2023-05-05",
"certification_date": "2023-05-05",
"status": "A",
"authorized_official_last_name": "BENCOMO",
"authorized_official_first_name": "ROSABEL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "786-222-8807",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": "ME119272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.