Individual
DR. JOSE A. BENGOCHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
152 ALMERIA AVE, CORAL GABLES, FL 33134
(305) 446-8377
(305) 567-9126
Mailing address
152 ALMERIA AVE, CORAL GABLES, FL 33134-6000
(305) 446-8377
(305) 567-9126
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
ME50234
FL
2080A0000X
Pediatric Adolescent Medicine Physician
ME50234
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013631900
—
FL
Enumeration date
04/13/2006
Last updated
06/12/2018
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