MS. JACQUELINE IRIARTE


Address: 12590 Sw 69th Ct, Miami, FL 33156-6225
Phone: 3052839072

MS. JACQUELINE IRIARTE (NPI# 1528539764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528539764
Entity Type Individual
Full Name MS. JACQUELINE IRIARTE
Credential ARNP
Practice Address 12590 Sw 69th Ct
Miami
FL 33156-6225
Practice Telephone 3052839072
Mailing Telephone 3052839072
Enumeration Date 2018-12-16
Last Update Date 2018-12-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
11000213 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 12590 SW 69TH CT
City MIAMI
State FL
Zip Code 33156-6225

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City MIAMI
Zip Code 33156

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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