Ricardo Antonio Ivonnet Galban

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

11031817 Issued in FL

Practice address

900 SW 97TH Ave
Miami, FL 33174-2935

Phone

(786) 539-6221

NPI assigned

Jul 1, 2024

Last updated

Feb 17, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Viliv Health

  • Primary Care Clinic/Center
  • Miami, FL
  • NPI 1235953845
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1659116671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12934 SW 285TH TER",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330331997",
            "telephone_number": "786-539-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SW 97TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742935",
            "telephone_number": "786-539-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVONNET GALBAN",
        "first_name": "RICARDO",
        "middle_name": "ANTONIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-01",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "11031817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivette Guillermo DMD PA
• Demetria Ivey
• Ivo Medical Services
• Ivon Behavior Service LLC
• Ivonne Garcia
• Ivor Spa & Therapy
• Blanca M Ivory, ACUPUNTURE PHYSICIAN
• Ivy Acupuncture & Medicine Clinic
• Iwo Solutions LLC
• Iya-Kere Alf Inc

• Family Medicine Physician in Miami, FL
• Providers in Miami, 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 Feb 17, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.