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General NPI Number Information
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NPI Number | 1487274403
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Entity Type | Individual
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Provider Name | MARIA ALEJANDRA IBANEZ MD
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Gender | Female
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Dates
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Enumeration Date | 04/20/2020
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 8810 SW 72ND CT # A-101
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City | MIAMI
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State | FL
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Zip | 33156-2983
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Country | US
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Telephone | 888-663-6331
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Fax |
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Provider Business Mailing Address
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Address Line | 10088 SW 77TH CT
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City | MIAMI
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State | FL
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Zip | 33156-2674
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Country | US
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Telephone | 954-850-8344
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD600003657
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME168993
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License Number State | FL
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