Ibanez Clinical Group LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

IBANEZ CLINICAL GROUP LLC

Practice address

1701 Ponce de Leon Blvd Ste 305
Coral Gables, FL 33134-4484

Phone

(786) 422-4636

NPI assigned

Dec 12, 2024

Organization subpart

No

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

Authorized official

Name

Giselle Ibanez

Title

MNGR

Phone

(786) 422-4643

Specialties & licenses 1

Addresses

Other names 1

• Ibanez Clinical Group LLC Doing business as

Locations

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1821805938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 PONCE DE LEON BLVD STE 305",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344484",
            "telephone_number": "786-422-4636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 PONCE DE LEON BLVD STE 305",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344484",
            "telephone_number": "786-422-4636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBANEZ CLINICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "IBANEZ",
        "authorized_official_first_name": "GISELLE",
        "authorized_official_title_or_position": "MNGR",
        "authorized_official_telephone_number": "786-422-4643"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ibanez Clinical Group LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles Hyams, M.D.
• Hype Clinical Research LLC
• Hype Home Health Agency LLC
• I M T F Inc
• Renee Rose Iacopelli, RBT
• Danielle Ibarra, PSYD
• Melissa Joanna Ibarra, LHMC
• Teresita Ibarra
• Ana Maria Ibata
• Ibis Chaviano DDS PA

• General Practice Physician in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.