Mario Abundio Bencomo

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

9241274 Issued in FL

Practice address

18255 Homestead Ave
Miami, FL 33157-5564

Phone

(786) 845-0550

NPI assigned

Aug 31, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: mario.bencomo-cue@flhealth.gov

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1871106658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W PARK DR APT 203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331723943",
            "telephone_number": "786-399-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18255 HOMESTEAD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331575564",
            "telephone_number": "786-845-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENCOMO",
        "first_name": "MARIO",
        "middle_name": "ABUNDIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9241274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTER NURSE",
            "identifier": "RN9241274",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Mario.Bencomo-Cue@flhealth.gov",
            "affiliation": "N",
            "endpointDescription": "Mario.Bencomo-Cue@flhealth.gov",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "mail",
            "address_1": "18255 Homestead Ave",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331575564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lexis M Benbow, PA-C
• Annette Bencomo Delgado
• Adelisa Bencomo Ruano
• Luis M Bencomo, MD
• Marilyn Bencomo, ACNP-BC
• Rosabel Maria Bencomo, M.D.
• Eliana Ines Bencosme Dina
• Aldo Jose Bendana, DDS
• Zoe Marie Bendana
• Anthony Abraham Bendeck Diazgranadoz

• Registered Nurse in Miami, FL
• Providers in Miami, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.