Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Rodrigo Buencamino Mata III, MD

Individual provider Internal Medicine Physician · NPI 1033148176

Dr. Rodrigo Buencamino Mata III, MD is an Internal Medicine in Kenosha, Wisconsin. Qualified in 1986, 40 years ago. Accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
40
Licensed in
WI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6123 Green Bay Rd Ste 120
Kenosha, WI 53142-2927
Phone: (262) 652-2710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 33893 (WI)

Record details

NPI number1033148176
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 1, 2006
Last updated in NPPESJune 3, 2020
Certification dateJune 3, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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