Individual provider Active NPI

Beatriz A. Libos, PA-C

  • Medical Physician Assistant
  • Ft Lauderdale, FL
National Provider Identifier
1346611589
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9108899 Issued in FL
Practice address
1625 SE 3Rd Ave Ste 300
Ft Lauderdale, FL 33316-2521
Phone
(954) 355-4665
Fax
(954) 355-4881
NPI assigned
Oct 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9108899 FL Primary

Addresses

Primary practice location

1625 SE 3Rd Ave Ste 300
Ft Lauderdale, FL 33316-2521

Mailing address

1608 SE 3Rd Ave FL 3
Fort Lauderdale, FL 33316-2564
Phone (954) 382-0700

Other practice location 1

3540 N Pine Island Rd
Sunrise, FL 33351-6637
Phone (954) 217-3125

Other practice location 2

1625 SE 3rd Ave Ste 355
Fort Lauderdale, FL 33316-2521
Phone (954) 355-5001

Other identifiers 1

IdentifierTypeStateIssuer
016913300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151221001420 FL Practitioner - Physician Assistant 9032410816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Broward Hospital DistrictGroup PAC ID 3577472422, 192 clinicians

Practice addresses (Care Compare)

1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510

1625 SE 3 Ave
Fort Lauderdale, FL 33316-2521

1625 SE 3Rd Ave
Suite 525
Ft Lauderdale, FL 33316-2521
Phone (954) 355-4975

260 SW 84 Ave
Plantation, FL 33324-2715
Phone (954) 382-0700

3540 N Pine Island Rd
Sunrise, FL 33351-6637
Phone (954) 491-8676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9108899FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Broward Hospital District CurrentSince Jan 5, 2020 Accepting new patients
North Broward Hospital District CurrentSince Jan 5, 2020 Accepting new patients
North Broward Hospital District Past Accepting new patients

Locations

1625 SE 3rd Ave
Ste 355
Fort Lauderdale, FL 33316
Phone (954) 355-5001

1625 SE 3rd Ave
Ft Lauderdale, FL 33316
Phone (954) 722-4950

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

1608 SE 3rd Ave
Fl Physician
Ft Lauderdale, FL 33316

1608 SE 3rd Ave
Fl 3
Ft Lauderdale, FL 33316

1625 SE 3rd Ave
Ste 300
Ft Lauderdale, FL 33316
Phone (954) 355-4665

1700 NW 49th St
Ste 125
Ft Lauderdale, FL 33309
Phone (954) 355-3490

260 SW 84th Ave
Ste A
Plantation, FL 33324
Phone (954) 370-7036

260 SW 84th Ave
Plantation, FL 33324
Phone (954) 382-0700

3540 N Pine Island Rd
Sunrise, FL 33351
Phone (954) 321-1776

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1346611589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 SE 3RD AVE FL 3",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162564",
            "telephone_number": "954-382-0700",
            "fax_number": "954-382-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 SE 3RD AVE STE 300",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162521",
            "telephone_number": "954-355-4665",
            "fax_number": "954-355-4881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3540 N Pine Island Rd",
            "address_purpose": "LOCATION",
            "city": "Sunrise",
            "state": "FL",
            "postal_code": "333516637",
            "country_code": "US",
            "telephone_number": "954-217-3125",
            "fax_number": "954-888-3551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1625 SE 3rd Ave Ste 355",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333162521",
            "country_code": "US",
            "telephone_number": "954-355-5001",
            "fax_number": "954-355-4881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIBOS",
        "first_name": "BEATRIZ",
        "middle_name": "A.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-14",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9108899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016913300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.