IVAN LAVANDERA RODRIGUEZ (NPI# 1417311622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417311622 |
| Entity Type | Individual |
| Full Name | IVAN LAVANDERA RODRIGUEZ |
| Practice Address |
7071 Sw 129th Ave Apt 8 Miami FL 33183-5299 |
| Practice Telephone | 7164233042 |
| Mailing Telephone | 7164233042 |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2016-04-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
15-528 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7071 SW 129TH AVE APT 8 |
| City | MIAMI |
| State | FL |
| Zip Code | 33183-5299 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700490026 | Katya Barbara Machado | Behavior Technician | 6500 Kendall Lake Dr, Apt 101, Miami, FL 33183 | 2020-09-03 |
| 1922631969 | Kety Garcia Gonzalez | Nurse Practitioner | 13327 Sw 61st Ter, Miami, FL 33183 | 2020-02-18 |
| 1063066850 | Jose Roberto Santamaria Castro | Specialist/Technologist, Other | 5914 Sw 133rd Ct, Miami, FL 33183 | 2019-07-30 |
| 1821655010 | Maidelyn Arencibia | Behavior Technician | 6416sw131st Path Apt 1706, Miami, FL 33183 | 2019-05-22 |
| 1386111672 | Gregory Parker Fisk | Pharmacist | 14030 Sw 74 St, Miami, FL 33183 | 2018-10-25 |
| 1861979106 | Jacqueline Porras | Nurse Practitioner | 8200 Sw 117th Ave Ste 316, Miami, FL 33183 | 2018-07-19 |
| 1447750591 | My Own Therapist Pllc | Clinic/Center | 14202 Sw 62nd St, Miami, FL 33183 | 2018-02-15 |
| 1316455744 | Maibel D Gomez Del Vallin | Behavior Technician | 8730 Sw 133rd Avenue Rd Apt 317, Miami, FL 33183 | 2018-01-19 |
| 1093225906 | Martha D Gonzalez Griego | Behavior Technician | 8500 Sw 133rd Avenue Rd Apt 321, Miami, FL 33183 | 2017-10-05 |
| 1770007353 | Dipsy Trejo Leal | Behavioral Analyst | 13026 Sw 68 Ln, Miami, FL 33183 | 2017-07-26 |
| Find all providers in zip 33183 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346721552 | Carlos G Torres Dugarte | Physician Assistant | 9521 Fontainebleau Blvd Apt 424, Miami, FL 33172-6829 | 2018-08-25 |
| 1639672967 | Roberto Rodriguez Milanes | Physician Assistant | 1629 Nw 14th St Apt 911, Miami, FL 33125-2673 | 2018-03-13 |
| 1003316118 | Clelia Isabel Soto De Cayama | Physician Assistant | 7310 Sw 132nd Ave, Miami, FL 33183-3468 | 2018-02-15 |
| 1174041313 | Erin Shay | Physician Assistant | 9155 S Dadeland Boulevard, Penthouse One, Suite 1708, Miami, FL 33156 | 2017-09-08 |
| 1174055156 | Jarvis Viza | Physician Assistant | 20121 Sw 117th Ave, Miami, FL 33177 | 2017-03-30 |
| 1942658182 | Acosta Arnp, Pa. | Physician Assistant | 7800 Sw 87th Ave Ste A320, Miami, FL 33173-3570 | 2016-05-27 |
| 1215393848 | Andres Vence Nunez | Physician Assistant | 9040 Sw 125th Ave, Apt D 208, Miami, FL 33186-7103 | 2016-01-12 |
| 1710385430 | Guillermo Lazaro Garcia | Physician Assistant | 13958 Sw 160th Ter, Miami, FL 33177-1906 | 2014-12-11 |
| 1033547856 | Francisco A Perez-loreto | Physician Assistant | 11912 Sw 126th Ln, Miami, FL 33186-5196 | 2013-10-15 |
| 1811268469 | Matthew Pourani | Physician Assistant | 909 W 47th St, Miami, FL 33140-2904 | 2012-01-13 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.