NPIMap

Organization Active NPI

Ibanez Internal Medicine

  • Internal Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1568673234
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
IBANEZ INTERNAL MEDICINE
Practice address
5920 Saratoga Blvd Ste 280
Corpus Christi, TX 78414-4120
Phone
(361) 985-1221
Fax
(361) 985-1295
NPI assigned
May 24, 2007
Last updated
Nov 28, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Authorized official

Name
Michele Ibanez, M.D.
Title
General Partner
Phone
(361) 654-2064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

5920 Saratoga Blvd Ste 280
Corpus Christi, TX 78414-4120

Mailing address

5920 Saratoga Blvd Ste 475
Corpus Christi, TX 78414-4119
Phone (361) 654-2064

National Provider Directory

National Provider Directory

Locations

5920 Saratoga Blvd
Ste 475
Corpus Christi, TX 78414
Phone (361) 654-2064

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1568673234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 SARATOGA BLVD STE 475",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144119",
            "telephone_number": "361-654-2064",
            "fax_number": "361-654-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 SARATOGA BLVD STE 280",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144120",
            "telephone_number": "361-985-1221",
            "fax_number": "361-985-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBANEZ INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "IBANEZ",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "361-654-2064",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.