Jorge M Barcenas Md Pa | |
14687 Sw 104th St Miami FL 33186-2977 | |
(305) 383-3372 | |
(305) 387-7366 |
Full Name | Jorge M Barcenas Md Pa |
---|---|
Speciality | Internal Medicine |
Location | 14687 Sw 104th St, Miami, Florida |
Authorized Official Name and Position | Jorge M Barcenas (PRESIDENT) |
Authorized Official Contact | 3053833372 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Jorge M Barcenas Md Pa 14687 Sw 104th St Miami FL 33186-2977 Ph: (305) 383-3372 | Jorge M Barcenas Md Pa 14687 Sw 104th St Miami FL 33186-2977 Ph: (305) 383-3372 |
NPI Number | 1023291002 |
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Provider Enumeration Date | 12/12/2007 |
Last Update Date | 12/16/2014 |
Medicare PECOS PAC ID | 9638153513 |
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Medicare Enrollment ID | O20040617000370 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023291002 | NPI | - | NPPES |
001944800 | Other | FL | MEDICAID GROUP #001944800 |
042122700 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 43880 (Florida) | Primary |
Provider Name | Jorge Barcenas |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790797074 PECOS PAC ID: 4385602234 Enrollment ID: I20041228000096 |
Provider Name | Juan Orozco |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1255598009 PECOS PAC ID: 9638218480 Enrollment ID: I20091208000241 |
Provider Name | Carlos M. Larocca |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265424097 PECOS PAC ID: 3173666757 Enrollment ID: I20100204000281 |
Provider Name | Liannelys Garcia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700385879 PECOS PAC ID: 9133466196 Enrollment ID: I20190129001840 |
Provider Name | David Yunior Velasco Pena |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760007546 PECOS PAC ID: 0042637712 Enrollment ID: I20200826000801 |
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