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NPI Code Detail

MEDICARE: MARQUEZ & BENGOCHEA

MEDICARE: MARQUEZ & BENGOCHEA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080A0000XPediatric Adolescent Medicine PhysicianME50234FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11275597973OTHERFLNPI
21689638157OTHERFLNPI

General Provider Information

NPI Number : 1790996411
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARQUEZ & BENGOCHEA
Provider Business Mailing Address
First Line : 135 MADEIRA AVE
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-4515
Country : US
Telephone Number : 305-446-8377
Fax Number : 305-567-9126
Provider Business Practice Location Address
First Line : 135 MADEIRA AVE
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-4515
Country : US
Telephone Number : 305-446-8377
Fax Number : 305-567-9126
Authorized Official
Title or Position : PHYSICIAN
Name : JOSE A BENGOCHEA
Credential : MD
Telephone Number : 305-446-8377
Provider Enumeration Date : 05/24/2007
Last Update Date : 08/22/2020

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Directions to “MARQUEZ & BENGOCHEA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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