Basic Information
| Provider Information | |||||||||
| NPI: | 1619264207 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BARCENA BLANCH | ||||||||
| FirstName: | MARIA | ||||||||
| MiddleName: | ANGELICA | ||||||||
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| Credential: | M.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7800 SW 87TH AVE | ||||||||
| Address2: | SUITE C-340 | ||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331733570 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3055950109 | ||||||||
| FaxNumber: | 3055957092 | ||||||||
| Practice Location | |||||||||
| Address1: | 7800 SW 87TH AVE | ||||||||
| Address2: | SUITE C-340 | ||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331733570 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3055950109 | ||||||||
| FaxNumber: | 3055957092 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/01/2011 | ||||||||
| LastUpdateDate: | 10/07/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207K00000X | ME126275 | FL | Y | Allopathic & Osteopathic Physicians | Allergy & Immunology |
ID Information
| ID | Type | State | Issuer | Description | 018200900 | 05 | FL | MEDICAID |