Benjamin Mena, M.d. P.a. | |
2835 W De Leon St Suite 104 Tampa FL 33609-4130 | |
(813) 443-0606 | |
(813) 443-0608 |
Full Name | Benjamin Mena, M.d. P.a. |
---|---|
Speciality | Internal Medicine |
Location | 2835 W De Leon St, Tampa, Florida |
Authorized Official Name and Position | Benjamin Mena (OWNER) |
Authorized Official Contact | 8134430606 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Benjamin Mena, M.d. P.a. 2835 W De Leon St Suite 104 Tampa FL 33609-4130 Ph: (813) 443-0606 | Benjamin Mena, M.d. P.a. 2835 W De Leon St Suite 104 Tampa FL 33609-4130 Ph: (813) 443-0606 |
NPI Number | 1316253982 |
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Provider Enumeration Date | 08/20/2010 |
Last Update Date | 03/07/2023 |
Medicare PECOS PAC ID | 9537358221 |
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Medicare Enrollment ID | O20110111000933 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316253982 | NPI | - | NPPES |
7904315 | Other | FL | AETNA |
78355 | Other | FL | BCBS |
10919106 | Other | FL | CAQH ID |
6116907 | Other | FL | CIGNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME98740 (Florida) | Primary |
Provider Name | Benjamin Nmn Mena |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1659359420 PECOS PAC ID: 7113950205 Enrollment ID: I20080116000036 |
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