Ilana Gunczler Benaim – Pediatrics Physician

Key facts

NPI: 1356800296
Entity type: Individual (NPI type 1)
Primary specialty: Pediatrics Physician 208000000X
License: ME158339 (FL)
Practice address: 1069 Kane Concourse
Bay Harbor Islands, FL 33154-2105
Phone: (305) 868-5181
Fax: (305) 868-8292
NPI assigned: Mar 19, 2019
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Vicente Roger, MD PA Pediatrics Physician · Bay Harbor Islands, FL · NPI 1538110168

NPD (past) PEDIATRICS

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
ME158339	FL	MD	Pediatrics Physician

Practice roles

Organization	Specialty	Status	New patients
Vicente Roger, MD PA	Pediatrics	Past since Nov 27, 2022	Accepting new patients

Interoperability endpoints

FHIR API: https://fhir4.healow.com/fhir/r4/BGAGCA/Endpoint/BGAGCA

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Pediatrics Physician	208000000X	ME158339	FL	Yes

Addresses

Primary practice location

1069 Kane Concourse
Bay Harbor Islands, FL 33154-2105

Mailing address

1611 NW 12TH Ave
Miami, FL 33136-1005
Phone (305) 335-1122

Other practice location 1

1611 NW 12th Ave
Miami, FL 33136-1005
Phone (305) 355-1122

Other providers in Bay Harbor Islands, FL

Maria Teresa Gomez, MD
George Gonzalez, M.D.
Evan P Grabois, DO
Granda'S Corp
Alison B Grossman, PH.D.
H M Reed MD PA
H M Reed MD PA
Alberto Horacio Haber, LMHC
Victoria Cerami Haefner, M.S.W., L.C.S.W.
Payam Hakimi, D.O.

All providers in Bay Harbor Islands, FL · Pediatrics Physician in Florida

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.