Individual
DR. JOHN IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3663 S MIAMI AVE, MIAMI, FL 33133-4253
(305) 854-4400
(305) 285-5068
Mailing address
PO BOX 166474, MIAMI, FL 33116-6474
(855) 826-6460
(772) 621-3184
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
162320-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01911884
—
NY
Enumeration date
05/17/2006
Last updated
08/24/2015
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