Healthcare Provider Details

I. General information

NPI: 1225374895
Provider Name (Legal Business Name): IPG HEALTH, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2012
Last Update Date: 03/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14837 BALGOWAN RD 202
MIAMI LAKES FL
33016-6472
US

IV. Provider business mailing address

7635 NW 182ND LN
HIALEAH FL
33015-2926
US

V. Phone/Fax

Practice location:
  • Phone: 305-206-5830
  • Fax:
Mailing address:
  • Phone: 305-206-5830
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2279P1004X
TaxonomyPulmonary Diagnostics Registered Respiratory Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2279P1005X
TaxonomyPulmonary Rehabilitation Registered Respiratory Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2279P1006X
TaxonomyPulmonary Function Technologist Registered Respiratory Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERTO N GARCIA
Title or Position: CEO
Credential: RRT
Phone: 305-206-5830