Provider Demographics
NPI:1013111921
Name:BARCENA, JULIO ANDRES (MD)
Entity type:Individual
Prefix:DR
First Name:JULIO
Middle Name:ANDRES
Last Name:BARCENA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3650 NW 82ND AVE STE 302
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6682
Mailing Address - Country:US
Mailing Address - Phone:305-798-1240
Mailing Address - Fax:949-710-6081
Practice Address - Street 1:3650 NW 82ND AVE STE 302
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-6682
Practice Address - Country:US
Practice Address - Phone:305-798-1240
Practice Address - Fax:949-710-6081
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAU2866626QO15207RC0000X
FLME113772207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL33057Medicare PIN