Healthcare Provider Details

I. General information

NPI: 1417883398
Provider Name (Legal Business Name): IBEIKIS DE LA PZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 NW 133RD AVE
MIAMI FL
33182-1806
US

IV. Provider business mailing address

850 NW 133RD AVE
MIAMI FL
33182-1806
US

V. Phone/Fax

Practice location:
  • Phone: 786-380-3942
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberOTA14156
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: