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Organization
JORGE M BARCENAS MD PA
Active
Organization
JORGE M BARCENAS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE M BARCENAS MD (PRESIDENT)
(305) 383-3372
Entity
Organization
Contact information
Practice address
14687 SW 104TH ST, MIAMI, FL 33186-2977
(305) 383-3372
(305) 387-7366
Mailing address
14687 SW 104TH ST, MIAMI, FL 33186-2977
(305) 383-3372
(305) 387-7366
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
43880
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001944800
MEDICAID GROUP #001944800
FL
05
—
042122700
—
FL
Enumeration date
12/12/2007
Last updated
12/16/2014
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