Benidecto Fernandez MD P a

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

ME0050321 Issued in FL

Legal business name

BENIDECTO FERNANDEZ MD P A

Practice address

2140 W 68TH St
Suite 406
Hialeah, FL 33016-1815

Phone

(305) 362-4979

Fax

(305) 362-6810

NPI assigned

Jun 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Benidecto Fernandez, M.D.NPI 1164607016

Title

President

Phone

(305) 362-4979

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Benidecto Fernandez, MD

  • Rheumatology Physician
  • Hialeah, FL
  • NPI 1164607016
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1386689990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 W 68TH ST",
            "address_2": "SUITE 406",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161815",
            "telephone_number": "305-362-4979",
            "fax_number": "305-362-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 W 68TH ST",
            "address_2": "SUITE 406",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161815",
            "telephone_number": "305-362-4979",
            "fax_number": "305-362-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENIDECTO FERNANDEZ MD P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "BENIDECTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-362-4979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME0050321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dunia Bencomo
• Susan Bencomo
• Yisisleydis Bencosme Santiesteban
• Nicolett Alexandria Benedetti
• Marcos Bengochea, MD
• Benincasa
• Benitez Ania, MD PA
• Yunaisy Benitez Capote
• Oscar Benitez Dominguez, CBHCMS, APRN
• Yaniley Benitez Duarte

• Rheumatology Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Rheumatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.