Ilavandera Aprn LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

ILAVANDERA APRN LLC

Practice address

11654 SW 142ND PL
Miami, FL 33186-8607

Phone

(716) 423-3042

NPI assigned

Dec 12, 2022

Last updated

Dec 12, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ivan Lavandera Rodriguez, APRNNPI 1417311622

Title

Authorized Official

Phone

(716) 423-3042

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ivan Lavandera Rodriguez

  • Nurse Practitioner
  • Fort Lauderdale, FL
  • NPI 1417311622
  Authorized official Same address or phone

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1164133039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11654 SW 142ND PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331868607",
            "telephone_number": "716-423-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11654 SW 142ND PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331868607",
            "telephone_number": "716-423-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILAVANDERA APRN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "LAVANDERA RODRIGUEZ",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "716-423-3042",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "11012290",
            "identifier": "LICENSE",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Maria Jose Ilabaca Rivera, LM, RN
• Natacha Shaneba Ilarion
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• Ilemor Medical Services Inc
• Ahmet Turan Ilica, MD
• Iliet Med & Spa LLC
• Ilife Enterprises

• Family Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.