Ideal Image

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

ARNP9196713 Issued in FL

Legal business name

IDEAL IMAGE

Practice address

330 San Lorenzo Ave
Coral Gables, FL 33146-1846

Phone

(305) 507-3461

NPI assigned

Nov 12, 2014

Organization subpart

No

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

Authorized official

Name

Christina Gautier, ARNP

Title

Family Nurse Practitioner

Phone

(305) 507-3461

Specialties & licenses 1

Addresses

Tax ID family

Ideal Image3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Ideal Image

  • Nursing Care Agency
  • Tampa, FL
  • NPI 1073978607
  NPD tax ID
• Ideal Image

  • Health Service Clinic/Center
  • Coral Gables, FL
  • NPI 1871985853
  NPD tax ID

Locations

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1609272038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SAN LORENZO AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331461846",
            "telephone_number": "305-507-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 SAN LORENZO AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331461846",
            "telephone_number": "305-507-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL IMAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-12",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "GAUTIER",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "305-507-3461",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ARNP9196713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Maria Ibata
• Ibis Chaviano DDS PA
• Icare Chiropractic, P.a.
• Jeannine Antonella Icaza, APRN
• Icom Coral Gables LLC
• Ideal Image
• Ideal Medical Inc
• Ideal Rehabilitation Center Inc
• Claudia Igarza, PTA
• Deasia Shyanne Ige

• Clinic/Center in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.