Tatiana Perez Ivan, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME120389 Issued in FL

Practice address

1111 Lincoln Rd Ste 301
Miami Beach, FL 33139-2409

Phone

(305) 703-7633

Fax

(305) 703-7662

NPI assigned

Nov 18, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2018 through Apr 1, 2028

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: tatiana.ivan@412963523788804.direct.elationemr.com

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1649508342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 LINCOLN RD STE 301",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331392409",
            "telephone_number": "305-703-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 LINCOLN RD STE 301",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331392409",
            "telephone_number": "305-703-7633",
            "fax_number": "305-703-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVAN",
        "first_name": "TATIANA",
        "middle_name": "PEREZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-18",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME120389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Intuitive Nutrition Miami LLC
• Leilany Irizarry-Colon, MD
• Irvin H Willis MD PA
• Stephany J Item
• Marilyn Itzkowitz, M.A., CCC - SLP
• Anastasia Ivanova, APRN
• Robert Drew Iver, D.D.S.
• Misa Iwabuchi, DPT
• Marta Izquierdo Rubi
• Jaime Izquierdo, LMT

• Family Medicine Physician in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.