Provider Demographics
NPI:1245534593
Name:OCAMPO BENAVIDES, CARMEN E (MD)
Entity type:Individual
Prefix:DR
First Name:CARMEN
Middle Name:E
Last Name:OCAMPO BENAVIDES
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:1420 BRICKELL BAY DR
Mailing Address - Street 2:APT #907
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-3606
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1420 BRICKELL BAY DR
Practice Address - Street 2:APT #907
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-3606
Practice Address - Country:US
Practice Address - Phone:305-585-6051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-30
Last Update Date:2010-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1078402080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine