Provider Demographics
NPI:1285775031
Name:BENDANA, CARLOS
Entity type:Individual
Prefix:MR
First Name:CARLOS
Middle Name:
Last Name:BENDANA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9777 NW 41ST ST
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-2381
Mailing Address - Country:US
Mailing Address - Phone:786-245-8351
Mailing Address - Fax:786-245-8431
Practice Address - Street 1:9777 NW 41ST ST
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-2381
Practice Address - Country:US
Practice Address - Phone:786-245-8351
Practice Address - Fax:786-245-8431
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS2501237700000X, 237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL600133500Medicaid