| Milton Bengoa Md Pa | |
|
925 Ne 30th Ter Suite 210 Homestead FL 33033-7613 | |
| (305) 248-9488 | |
| (305) 248-9557 |
| Full Name | Milton Bengoa Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 925 Ne 30th Ter, Homestead, Florida |
| Authorized Official Name and Position | Milton Rodrigo Bengoa (OWNER) |
| Authorized Official Contact | 3052489488 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Milton Bengoa Md Pa 925 Ne 30th Ter Suite 210 Homestead FL 33033-7613 Ph: (305) 248-9488 | Milton Bengoa Md Pa 925 Ne 30th Ter Suite 210 Homestead FL 33033-7613 Ph: (305) 248-9488 |
| NPI Number | 1790972925 |
|---|---|
| Provider Enumeration Date | 10/02/2007 |
| Last Update Date | 11/13/2014 |
| Medicare PECOS PAC ID | 1850306804 |
|---|---|
| Medicare Enrollment ID | O20060213000098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790972925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME69889 (Florida) | Primary |
| Provider Name | Milton R Bengoa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033166806 PECOS PAC ID: 5991782534 Enrollment ID: I20040701001156 |
| Provider Name | Gustavo A Correa |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1790091924 PECOS PAC ID: 9032340559 Enrollment ID: I20140326002282 |
| Provider Name | Melissa M Bengoa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528509734 PECOS PAC ID: 2567870173 Enrollment ID: I20210421000031 |
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