Healthcare Provider Details

I. General information

NPI: 1780666859
Provider Name (Legal Business Name): MARIA DEL CARMEN IPARRAGUIRRE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2005
Last Update Date: 12/24/2024
Certification Date: 12/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8900 NORTH KENDALL DRIVE
MIAMI FL
33176
US

IV. Provider business mailing address

2555 PONCE DE LEON BLVD 4TH FLOOR
CORAL GABLES FL
33134
US

V. Phone/Fax

Practice location:
  • Phone: 786-596-1960
  • Fax:
Mailing address:
  • Phone: 305-446-4681
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberME59227
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: