Teresa C Iribarren MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME79837 Issued in FL

Legal business name

TERESA C IRIBARREN MD PA

Practice address

12955 SW 42ND St
Suite 12
Miami, FL 33175-2902

Phone

(305) 226-5106

Fax

(305) 226-5105

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Teresa C Iribarren, MDNPI 1861439093

Title

President

Phone

(786) 200-1162

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Teresa C Iribarren, MD

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1861439093
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222992000000",
    "number": "1215073283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12955 SW 42ND ST",
            "address_2": "SUITE 12",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331752902",
            "telephone_number": "305-226-5106",
            "fax_number": "305-226-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12955 SW 42ND ST",
            "address_2": "SUITE 12",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331752902",
            "telephone_number": "305-226-5106",
            "fax_number": "305-226-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA C IRIBARREN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-10-03",
        "status": "A",
        "authorized_official_last_name": "IRIBARREN",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-200-1162",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME79837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Miami, FL
• Providers in Miami, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.