Individual provider Active NPI

Maria Angelica Barcena Blanch, M.D

  • Allergy & Immunology Physician
  • Miami, FL
National Provider Identifier
1619264207
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
ME126275 Issued in FL
Practice address
3659 S Miami Ave Ste 4006
Miami, FL 33133-4231
Phone
(786) 981-3290
Fax
(754) 714-2334
NPI assigned
Jul 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X ME126275 FL Primary

Addresses

Primary practice location

3659 S Miami Ave Ste 4006
Miami, FL 33133-4231

Mailing address

3659 S Miami Ave Ste 4006
Miami, FL 33133-4231
Phone (786) 981-3290

Other identifiers 1

IdentifierTypeStateIssuer
018200900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161015000024 FL Practitioner - Allergy/Immunology 7012205545 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Florida Surgical Specialists LLCGroup PAC ID 5799881660, 91 clinicians

Practice addresses (Care Compare)

3659 S Miami Ave
Suite 4006
Miami, FL 33133-4231
Phone (786) 981-3290

Merit-based Incentive Payment System (MIPS)

Final score
70.51 of 100Reported as group
Quality
70.82
Improvement activities
40
Cost
55.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME126275FLMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RM Allergy Allergy & Immunology Current Accepting new patients
Asthma & Allergy Associates of FL PA Allergy & Immunology CurrentSince Jul 12, 2016 Accepting new patients
South Florida Surgical Specialists LLC CurrentSince Nov 1, 2024 Accepting new patients

Locations

3659 S Miami Ave
Ste 4006
Miami, FL 33133
Phone (786) 483-8438

400 W 41st St
Ste 412
Miami Beach, FL 33140
Phone (305) 672-2225

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1619264207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3659 S MIAMI AVE STE 4006",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334231",
            "telephone_number": "786-981-3290",
            "fax_number": "754-714-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3659 S MIAMI AVE STE 4006",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334231",
            "telephone_number": "786-981-3290",
            "fax_number": "754-714-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARCENA BLANCH",
        "first_name": "MARIA",
        "middle_name": "ANGELICA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-01",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME126275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018200900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.