Blanca M Ivory, ACUPUNTURE PHYSICIAN

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP 1024 Issued in FL

Practice address

3109 Grand Ave
#293
Miami, FL 33133-5103

Phone

(305) 610-4989

NPI assigned

Jan 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Blanca M Ivory Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629128376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 GRAND AVE",
            "address_2": "#293",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331335103",
            "telephone_number": "305-610-4989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 GRAND AVE",
            "address_2": "#293",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331335103",
            "telephone_number": "305-610-4989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVORY",
        "first_name": "BLANCA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "ACUPUNTURE PHYSICIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP 1024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BLANCA",
            "last_name": "IVORY",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "MASSAGE THERAPIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Juan Jose Izaguirre Esquivel, C-SA
• Isaac Izaguirre Leal, APRN-FNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.