Ibiza Nevares, M.D. , P. a.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

71574 Issued in FL

Legal business name

IBIZA NEVARES, M.D. , P. A.

Practice address

7100 W Commercial Blvd
Suite 105
Lauderhill, FL 33319-2155

Phone

(954) 578-2292

Fax

(954) 578-2330

NPI assigned

Feb 17, 2011

Last updated

Mar 21, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ibiza Nevares, M.D.NPI 1659340693

Title

President

Phone

(954) 578-2292

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ibiza Nevares, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Lauderhill, FL
  • NPI 1659340693
  Authorized official Same address or phone

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300665600000",
    "number": "1952608549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 W COMMERCIAL BLVD",
            "address_2": "SUITE 105",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333192155",
            "telephone_number": "954-578-2292",
            "fax_number": "954-578-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 W COMMERCIAL BLVD",
            "address_2": "SUITE 105",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333192155",
            "telephone_number": "954-578-2292",
            "fax_number": "954-578-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBIZA NEVARES, M.D. , P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2011-03-21",
        "status": "A",
        "authorized_official_last_name": "NEVARES",
        "authorized_official_first_name": "IBIZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-578-2292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "71574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Lorine Howell-Morris, RN, WCC, OMS
• Human Development Consulting & Counseling Services, Inc.
• Paul Anthony Keith Hunt
• Hyacinth Viola Hutton, PERSONALCARE ASST
• I Am Christian Counseling Service
• Frank Iborra, A.P.
• Ilora
• Imd Mindcare Behavioral Health
• Impact Community Services, Inc.
• In Loving Care Family Services LLC

• Physical Medicine & Rehabilitation Physician in Lauderhill, FL
• Providers in Lauderhill, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.