Healthcare Provider Details

I. General information

NPI: 1558161596
Provider Name (Legal Business Name): IPAMAR CARE SOLUTIONS CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2025
Last Update Date: 03/28/2025
Certification Date: 03/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3780 W FLAGLER ST
CORAL GABLES FL
33134-1602
US

IV. Provider business mailing address

3780 W FLAGLER ST
CORAL GABLES FL
33134-1602
US

V. Phone/Fax

Practice location:
  • Phone: 786-757-1258
  • Fax: 786-534-3773
Mailing address:
  • Phone: 786-757-1258
  • Fax: 786-534-3773

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: HAROLD IPARRAGUIRRE MARTINEZ
Title or Position: PRESIDENT
Credential: APRN
Phone: 786-757-1258