Rodrigo Buencamino Mata in Kenosha - Internal Medicine

Rodrigo Buencamino Mata - NPI 1033148176

Rodrigo Buencamino Mata is a Internal Medicine in Kenosha, Wisconsin. Rodrigo Buencamino Mata practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Rodrigo Buencamino Mata is 1033148176. The last update date is 2020-06-03.

Rodrigo Buencamino Mata's current location address is 6123 Green Bay Rd, Kenosha, Wisconsin. You can contact this provider via phone number 2626522710. The mailing address for Rodrigo Buencamino Mata is 6123 Green Bay Rd, Kenosha, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Rodrigo Buencamino Mata
Address 6123 Green Bay Rd, Kenosha, Wisconsin
Phone Number 2626522710
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1033148176
Provider Enumeration Date 2006-07-01
Last Updated Date 2020-06-03

Provider Mailing Address Detail

Address 6123 Green Bay Rd
City Kenosha
State Wisconsin (WI)
Post Code 531422927
Phone Number 2626522710
Fax Number

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 33893
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
508901078009 WI BC/BS
21286100 WI --

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FAQs about Rodrigo Buencamino Mata

What is the Rodrigo Buencamino Mata's 1033148176?

The Rodrigo Buencamino Mata's NPI (National Provider Identifier) Number is 1033148176. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Rodrigo Buencamino Mata is physically located?

The Rodrigo Buencamino Mata is situated at the following address: 6123 Green Bay Rd, Kenosha, WI 531422927.

What is Rodrigo Buencamino Mata's specialized field of practice, and what is the corresponding taxonomy classification code?

The Rodrigo Buencamino Mata's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.

On what date did the Rodrigo Buencamino Mata receive its 1033148176 assignment from the Centers for Medicare & Medicaid Services?

The Rodrigo Buencamino Mata was assigned its 1033148176 by the Centers for Medicare & Medicaid Services on 2006-07-01.

As of what date was the information pertaining to Rodrigo Buencamino Mata, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Rodrigo Buencamino Mata, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-06-03.

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