JUAN JOSE IBIETATORREMENDIA (NPI# 1972842128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972842128 |
| Entity Type | Individual |
| Full Name | JUAN JOSE IBIETATORREMENDIA |
| Credential | RPH |
| Practice Address |
39200 Hooker Hwy Belle Glade FL 33430-5368 |
| Mailing Address |
937 Obispo Ave Coral Gables FL 33134-3645 |
| Practice Telephone | 5619966572 |
| Practice Fax Number | 5619966608 |
| Mailing Telephone | 8632332781 |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2013-10-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PS45089 | FL | Pharmacy Service Providers |
| Street Address |
39200 HOOKER HWY |
| City | BELLE GLADE |
| State | FL |
| Zip Code | 33430-5368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801885413 | District Hospital Holdings Inc | General Acute Care Hospital | 39200 Hooker Hwy, Belle Glade, FL 33430 | 2005-10-17 |
| 1780208538 | Anthony David Hernandez | Student in an Organized Health Care Education/Training Program | 39200 Hooker Hwy, Belle Glade, FL 33430-5368 | 2020-06-07 |
| 1215551296 | Jennifer Dorothy Hua | Student in an Organized Health Care Education/Training Program | 39200 Hooker Hwy, Belle Glade, FL 33430-5368 | 2020-06-04 |
| 1225676208 | Nathalie Cassamajor | Nurse Practitioner | 39200 Hooker Hwy, Belle Glade, FL 33430-5368 | 2019-12-20 |
| 1336784115 | Mda Anesthesia, LLC | Anesthesiology | 39200 Hooker Hwy, Belle Glade, FL 33430-5368 | 2019-11-15 |
| 1639735962 | Jesse Carl Grieb | Student in an Organized Health Care Education/Training Program | 39200 Hooker Hwy, Belle Glade, FL 33430-5368 | 2019-05-13 |
| 1578129896 | Anna Mcclain | Student in an Organized Health Care Education/Training Program | 39200 Hooker Hwy, Belle Glade, FL 33430-5368 | 2019-05-13 |
| 1568028942 | Thy Hoang Bui | Student in an Organized Health Care Education/Training Program | 39200 Hooker Hwy, Belle Glade, FL 33430-5368 | 2019-05-12 |
| 1275018673 | Ehs At Lakeside LLC | Hospitalist | 39200 Hooker Hwy, Belle Glade, FL 33430-5368 | 2018-10-02 |
| 1063994382 | Sonya K Dusseault | Family Medicine | 39200 Hooker Hwy, Belle Glade, FL 33430-5368 | 2018-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720474075 | District Clinic Holdings Inc | Clinic/Center | 38754 State Rd 80, Belle Glade, FL 33430 | 2015-04-14 |
| 1780934299 | Keyon Lamar Hodges | Driver | 636 Southeast 1st, Belle Glade, FL 33430 | 2012-09-12 |
| 1831481480 | Maria E Pearson | Registered Nurse | 5701 Shingle Creek Parkway, Suite 200, Minneapolis, MN 33430 | 2011-05-13 |
| 1356632145 | Reflections of Jupiter LLC | Clinic/Center | 306 Sw10 Th Street, Belle Glade, FL 33430 | 2011-04-27 |
| 1417289943 | Positive Black Investors of Properties,inc | Community Based Residential Treatment Facility, Mental Illness | 20 Poinana Drive, Apt.@20, Belle Glade, FL 33430 | 2010-02-09 |
| 1275789414 | Lakeshore Anesthesia, Inc. | Anesthesiology | 39200 Hooker Highway, Belle Glade, FL 33430 | 2008-08-07 |
| 1598824435 | Florida Rehabilitation Services | Physical Therapist | 1100 S Main Street, Suite 13, Belle Glade, FL 33430 | 2006-12-06 |
| 1508951922 | National Medical Care, Inc. | Clinic/Center | 933 S.e. 1st Street, Belle Glade, FL 33430 | 2006-10-03 |
| 1124123492 | Belle Glade Discount Pharmacy | Pharmacy | 1508 Sw Ave E, Belle Glade, FL 33430 | 2006-09-13 |
| 1699756312 | Rahat Abbas | Internal Medicine | 349 Nw 16th St, Suite 104, Belle Glade, FL 33430 | 2005-11-09 |
| Find all providers in zip 33430 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696345 | Cynthia Barbara Guerrero Gentile | Pharmacist | 11231 Macaw Ct, Windermere, FL 34786-5635 | 2020-10-16 |
| 1568069276 | Shannon Lea Wright | Pharmacist | 2021 Camden Loop, Davenport, FL 33837-1796 | 2020-10-06 |
| 1013514603 | Tien Thuy Hoang | Pharmacist | 875 Dr M.l.k. Jr St N, St. Petersburg, FL 33701 | 2020-10-06 |
| 1497361976 | Ruxandra Ivascu | Pharmacist | 11782 E Dr Martin Luther King Jr Blvd, Seffner, FL 33584-4923 | 2020-09-20 |
| 1306458450 | Usif Darwish | Pharmacist | 3863 Us 301 S, Riverview, FL 33578-3572 | 2020-08-20 |
| 1528685203 | Caren Azurin | Pharmacist | 23965 Us 27, Lake Wales, FL 33859-7812 | 2020-06-29 |
| 1700400314 | Tonisha Simone Robinson Seixas | Pharmacist | 13280 Nw 18th St, Pembroke Pines, FL 33028-2502 | 2020-05-31 |
| 1942820287 | Sirisha Kandepi | Pharmacist | 8217 Miramar Way, Lakewood Ranch, FL 34202-9003 | 2020-04-16 |
| 1891323713 | Ralph Ranie Razon | Pharmacist | 3135 Sr 580 Ste 15, Suite 15, Safety Harbor, FL 34695-3528 | 2020-03-27 |
| 1710518477 | Richard D Moss | Pharmacist | 160 Sw 12 Avenue, Suite 101 D, Deerfield Beach, FL 33442 | 2020-01-31 |
| Find all providers with the same taxonomy | ||||
| City | BELLE GLADE |
| Zip Code | 33430 |
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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.