Benjamin Mena, M.D. P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME98740 Issued in FL

Legal business name

BENJAMIN MENA, M.D. P.A.

Practice address

2835 W de Leon St
Suite 104
Tampa, FL 33609-4130

Phone

(813) 443-0606

Fax

(813) 443-0608

NPI assigned

Aug 20, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Mena, M.D.NPI 1659359420

Title

Owner

Phone

(813) 443-0606

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Westshore Internal Medicine Former legal business name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benjamin NMN Mena, MD

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1659359420
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1316253982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 W DE LEON ST",
            "address_2": "SUITE 104",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094130",
            "telephone_number": "813-443-0606",
            "fax_number": "813-443-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 W DE LEON ST",
            "address_2": "SUITE 104",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094130",
            "telephone_number": "813-443-0606",
            "fax_number": "813-443-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN MENA, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-20",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MENA",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-443-0606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME98740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7904315",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "78355",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH ID",
            "identifier": "10919106",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6116907",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westshore Internal Medicine",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Antonio Benitez, DMD
• Gabriela Benitez
• Johana Maria Benitez
• Sarah Benitez
• Francisca Marcia Benjamin Blanco, PHARM.D.
• Alice Benjamin-Jones
• Bessy Wilson Benjamin, CRNA
• Brodrick Benjamin, LCSW
• Carla Benjamin, FNP
• Shaniya Benjamin

• Internal Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.