LARISSA M COLON-BENGOA (MD) – Family Medicine Physician, NPI 1982634135
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for LARISSA M COLON-BENGOA (MD)
20036 SE BRIDGEWATER DR
JUPITER, FL 334581651
Phone: (561) 676-8109
Type: Mailing
Leon Medical Center - Westchester, 8888, Southwest 24th Street, Coral Way Village, Miami, Miami-Dade County, Florida, 33165, United States
MIAMI, FL 331652008
Phone: (305) 642-5366
Type: Mailing
1901 S CONGRESS AVE STE 420
BOYNTON BEACH, FL 334266588
Phone: (561) 364-1479
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-12-21
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33458)
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