Individual
MARIA DOLORES IBARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-6910
Mailing address
9959 SW 26TH TER, MIAMI, FL 33165-2655
(305) 726-4672
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP3139712
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015360900
—
FL
Enumeration date
01/29/2015
Last updated
01/05/2017
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