Healthcare Provider Details

I. General information

NPI: 1952238016
Provider Name (Legal Business Name): PREVENZA PI, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6399 SW 120TH ST
PINECREST FL
33156-4832
US

IV. Provider business mailing address

8400 NW 33RD ST STE 310
DORAL FL
33122-2006
US

V. Phone/Fax

Practice location:
  • Phone: 954-824-9700
  • Fax: 888-801-7400
Mailing address:
  • Phone: 954-824-9700
  • Fax: 888-801-7400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MARGARITA IBANEZ
Title or Position: OWNER
Credential: MD
Phone: 954-824-9700