Edgar Ibanez MD, PA

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME35446 Issued in FL

Legal business name

EDGAR IBANEZ MD, PA

Practice address

2609 W Woolbright Rd
Ste 4C
Boynton Beach, FL 33436-6634

Phone

(561) 738-1770

Fax

(561) 738-9992

NPI assigned

Nov 17, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Edgar Ibanez, MD

Title

President

Phone

(561) 738-1770

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1134421589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 W WOOLBRIGHT RD",
            "address_2": "STE 4C",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334366634",
            "telephone_number": "561-738-1770",
            "fax_number": "561-738-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 W WOOLBRIGHT RD",
            "address_2": "STE 4C",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334366634",
            "telephone_number": "561-738-1770",
            "fax_number": "561-738-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGAR IBANEZ MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "IBANEZ",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-738-1770",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME35446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryuri Echevarria del Valle
• Arbra Edelstein, APRN
• Richard Edelstein, M.D.
• Edens Garden of Care LLC
• Jeffrey Eder, DDS
• Jessica Edgar, PHARMD
• Simone Edgerton, PHARM.D.
• Erica C Edlund, ARNP
• Paola Edouard, BA
• Jasmine Edwards

• Gastroenterology Physician in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.