Active NPI
Yarany Perez Ibanez
- Family Nurse Practitioner
- Pembroke Pines, FL
National Provider Identifier
1740728708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11005228
- Practice address
- 17900 NW 5TH St Ste 205
Pembroke Pines, FL 33029-2809 - Phone
- (954) 354-3157
- NPI assigned
- Feb 9, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | DO6751 | FL | |
| Family Nurse Practitioner | 363LF0000X | 11005228 | FL | Primary |
Addresses
Primary practice location
17900 NW 5TH St Ste 205
Pembroke Pines, FL 33029-2809
Mailing address
17900 NW 5TH St Ste 205
Pembroke Pines, FL 33029-2809
Phone (954) 354-3157
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO6751 | FL | MD | Optician |
| 11005228 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Barbara Martinez MD PA | Current | Accepting new patients | |
| Value Healthcare Partners | Past | Accepting new patients |
Locations
17900 NW 5th St
Ste 105
Pembroke Pines, FL 33029
17900 NW 5th St
Ste 205
Pembroke Pines, FL 33029
Phone (954) 367-3157
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Pembroke Pines, FL
- NPI 1790022507
-
- Preferred Provider Organization
- Miami, FL
- NPI 1316763394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671494400000",
"number": "1740728708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17900 NW 5TH ST STE 205",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330292809",
"telephone_number": "954-354-3157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17900 NW 5TH ST STE 205",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330292809",
"telephone_number": "954-354-3157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ IBANEZ",
"first_name": "YARANY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-09",
"last_updated": "2022-12-20",
"certification_date": "2022-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "FL",
"license": "DO6751",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11005228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.