Luis M Barcena Blanch, M.D.
Individual provider Active NPI Infectious Disease Physician · Margate, FL
NPI 1144484346 · NPPES record last updated Oct 9, 2019
Key facts
- NPI
- 1144484346
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Infectious Disease Physician 207RI0200X
- License
- ME134030 (FL)
- Practice address
- 2825 N State Road 7 Ste 305
Margate, FL 33063-5737 - Phone
- (954) 366-4910
- Fax
- (754) 205-7987
- NPI assigned
- Jul 16, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vitalmd Group Holding LLC
Practice addresses (Care Compare)
3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641
Hospital & facility affiliations
- Broward Health North
- North Shore Medical Center
- HCA Florida Northwest Hospital
- Westside Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180709000807 | FL | Practitioner - Internal Medicine |
9335369883 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME134030 | FL | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | ME134030 | FL | Yes |
| Internal Medicine Physician | 207R00000X | ME134030 | FL |
Addresses
Primary practice location
2825 N State Road 7 Ste 305
Margate, FL 33063-5737
Mailing address
2825 N State Road 7 Ste 305
Margate, FL 33063-5737
Phone (954) 366-4910
Other practice location 1
1501 Middleford Rd
Seaford, DE 19973-3615
Phone (302) 629-4569
Other practice location 2
1501 Middleford Rd
Seaford, DE 19973-3615
Phone (302) 629-4569
Other practice location 3
1222 N University Dr
Plantation, FL 33322-4724
Phone (954) 581-3100
NPI Registry JSON
{
"created_epoch": "1216166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570579200000",
"number": "1144484346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2825 N STATE ROAD 7 STE 305",
"city": "MARGATE",
"state": "FL",
"postal_code": "330635737",
"telephone_number": "954-366-4910",
"fax_number": "754-205-7987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 N STATE ROAD 7 STE 305",
"city": "MARGATE",
"state": "FL",
"postal_code": "330635737",
"telephone_number": "954-366-4910",
"fax_number": "754-205-7987"
}
],
"practiceLocations": [
{
"address_1": "1501 Middleford Rd",
"address_purpose": "LOCATION",
"city": "Seaford",
"state": "DE",
"postal_code": "199733615",
"country_code": "US",
"telephone_number": "302-629-4569",
"fax_number": "302-628-4669",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1501 Middleford Rd",
"address_purpose": "LOCATION",
"city": "Seaford",
"state": "DE",
"postal_code": "199733615",
"country_code": "US",
"telephone_number": "302-629-4569",
"fax_number": "302-628-4669",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1222 N University Dr",
"address_purpose": "LOCATION",
"city": "Plantation",
"state": "FL",
"postal_code": "333224724",
"country_code": "US",
"telephone_number": "954-581-3100",
"fax_number": "954-581-7773",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARCENA BLANCH",
"first_name": "LUIS",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-16",
"last_updated": "2019-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "FL",
"license": "ME134030",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME134030",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Margate, FL
- Adira Bagoon
- Kelsey Raquael Bailey
- Alyssa Marie Ball
- Jeffrey U Banga
- Barbara E. Smith, M.D.,P.a.
- Linette Barreras
- Angelle M Barrett
- Dianne Barrett
- Marcelo Jorge Barrionuevo
- Dean Barry
All providers in Margate, FL · Infectious Disease Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.