Provider Demographics
NPI:1639062862
Name:BENDECIDO MEDICAL GROUP LLC
Entity type:Organization
Organization Name:BENDECIDO MEDICAL GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:F
Authorized Official - Last Name:ORAMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:728-227-1348
Mailing Address - Street 1:160 NW 176TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33169-5021
Mailing Address - Country:US
Mailing Address - Phone:728-205-0227
Mailing Address - Fax:
Practice Address - Street 1:160 NW 176TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33169-5021
Practice Address - Country:US
Practice Address - Phone:728-205-0227
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty