Manuel Rafael Iribar, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME41495 Issued in FL

Practice address

3702 Washington St Ste 205
Hollywood, FL 33021-8283

Phone

(954) 926-2900

Fax

(954) 926-2956

NPI assigned

Aug 22, 2005

Reactivated

May 2, 2006

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

Other identifiers 1

Other names 1

• Dr. Manuel Iribar Other name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ACIICA/Endpoint/ACIICA
• Direct secure messaging: manuel.iribar@ehma.eclinicaldirectplus.com
• Direct secure messaging: manuel.iribar.1@29601.direct.athenahealth.com

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

• East Hollywood Medical Associates, Inc.

  • Geriatric Medicine (Internal Medicine) Physician
  • Hollywood, FL
  • NPI 1174718704
  Medicare reassignment NPD Authorized official
• Conviva Medical Center Management LLC

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1649324278
  Medicare reassignment NPD
• Biscayne Park Medical Center, Inc.

  • Internal Medicine Physician
  • N. Miami, FL
  • NPI 1871788380
  NPD (past) Authorized official
• Healthexcel Medical Group at Palm Beach Inc

  • Internal Medicine Physician
  • West Palm Beach, FL
  • NPI 1952638496
  NPD (past)
• Pompano Beach Community Medical Center Inc

  • Family Medicine Physician
  • Pompano Beach, FL
  • NPI 1942422159
  NPD (past)

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1730171125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 WASHINGTON ST STE 205",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218283",
            "telephone_number": "954-926-2900",
            "fax_number": "954-926-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 WASHINGTON ST STE 205",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218283",
            "telephone_number": "954-926-2900",
            "fax_number": "954-926-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIBAR",
        "first_name": "MANUEL",
        "middle_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "deactivation_date": "2006-03-27",
        "reactivation_date": "2006-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME41495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0681156",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANUEL",
            "last_name": "IRIBAR",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kailey Loren Introcaso, AU.D.
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• Ira R. Lefkof, M.D., P.a.
• Irecovery, LLC
• Irina Milman DO LLC
• Dayli Isaac Correa, SA-C
• Isaac Levy MD PA
• Lisa Jeanette Isidron, LMHC
• Violeta Ismail

• Internal Medicine Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.