Provider Demographics
NPI:1114258118
Name:BARCENAS, RANIEL MARC (APRN)
Entity Type:Individual
Prefix:
First Name:RANIEL
Middle Name:MARC
Last Name:BARCENAS
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:RANIEL
Other - Middle Name:MARC ESPINOS
Other - Last Name:BARCENAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ARNP
Mailing Address - Street 1:410 CELEBRATION PLACE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CELEBRATION
Mailing Address - State:FL
Mailing Address - Zip Code:34747-5432
Mailing Address - Country:US
Mailing Address - Phone:407-303-4673
Mailing Address - Fax:407-303-4674
Practice Address - Street 1:410 CELEBRATION PLACE
Practice Address - Street 2:SUITE 200
Practice Address - City:CELEBRATION
Practice Address - State:FL
Practice Address - Zip Code:34747-5432
Practice Address - Country:US
Practice Address - Phone:407-303-4673
Practice Address - Fax:407-303-4674
Is Sole Proprietor?:No
Enumeration Date:2010-01-15
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN3151552363LA2100X
FLARNP3151552364SA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No364SA2100XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAcute Care