Provider Demographics
NPI:1356680649
Name:BIEN-AIME BARCENA, DOMINIQUE (CRNA)
Entity Type:Individual
Prefix:
First Name:DOMINIQUE
Middle Name:
Last Name:BIEN-AIME BARCENA
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:DOMINIQUE
Other - Middle Name:
Other - Last Name:BIEN-AIME
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:7600 W SUNRISE BLVD
Mailing Address - Street 2:MAIL STOP-PL-31
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33322-4115
Mailing Address - Country:US
Mailing Address - Phone:954-838-2371
Mailing Address - Fax:954-851-1746
Practice Address - Street 1:2801 BUTTONWOOD AVE
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-2417
Practice Address - Country:US
Practice Address - Phone:954-793-7790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-06
Last Update Date:2018-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9162833367500000X
FLARNP9162833367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered