SANDRA IBANEZ


Address: 1601 Nw 12th Ave, Miami, FL 33136-1005
Phone: 7862085327

SANDRA IBANEZ (NPI# 1902350838) 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) 1902350838
Entity Type Individual
Full Name SANDRA IBANEZ
Credential MHC
Practice Address 1601 Nw 12th Ave
Miami
FL 33136-1005
Mailing Address 16057 Sw 85th St
Miami
FL 33193-3078
Practice Telephone 7862085327
Enumeration Date 2016-08-09
Last Update Date 2017-09-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
N 225C00000X Rehabilitation Counselor Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 222Q00000X Developmental Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 1601 NW 12TH AVE
City MIAMI
State FL
Zip Code 33136-1005

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932171196 Lesley Jacqueline Smith Pediatrics 1601 Nw 12th Ave, Mailman Center 3005a, Div Peds Gi & Nutriton, Miami, FL 33136-1005 2006-02-02
1871131383 Nancy Cruz Specialist 1601 Nw 12th Ave, Miami, FL 33136-1005 2019-12-16
1750870341 Cara Axelrod Dietitian, Registered 1601 Nw 12th Ave, Miami, FL 33136-1005 2018-05-09
1447750260 Sadie Vega-velasquez Speech-Language Pathologist 1601 Nw 12th Ave, 5065, Miami, FL 33136 2018-02-19
1851819130 Milvia Tellez Nurse Practitioner 1601 Nw 12th Ave, Miami, FL 33136-1005 2017-09-06
1457872749 Daniela Marie Berrios Speech-Language Pathologist 1601 Nw 12th Ave, Miami, FL 33136-1005 2017-06-28
1750815056 Allison Weinstein Psychologist 1601 Nw 12th Ave, 4018a, Miami, FL 33136-1005 2017-04-13
1740714948 Eileen Matias Davis Psychologist 1601 Nw 12th Ave, Suite 4059, Miami, FL 33136-1005 2017-04-13
1538512660 Brittani Houston Audiologist 1601 Nw 12th Ave, Miami, FL 33136-1005 2016-07-13
1962863118 Awilda Gonzalez Developmental Therapist 1601 Nw 12th Ave, Miami, FL 33136-1005 2016-03-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548875685 Agustina Dirocco Registered Nurse 1611 Ne 12th Ave, Miami, FL 33136 2020-09-15
1093338451 Krizia Amy Vinck Clinical Neuropsychologist 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 2020-05-20
1992327761 Jorge Luis Cardenas Alvarez Student in an Organized Health Care Education/Training Program 1611 Nw 12 Avenue Central Room 600-d, Miami, FL 33136 2020-05-14
1104447036 Denver Steven Pinto Student in an Organized Health Care Education/Training Program 1611 Nw 12 Avenue Jackson Memorial Hospital, West Wing 279 Emergency Radiology, Miami, FL 33136 2020-05-01
1992325724 Dimple Kumar Chanamolu Student in an Organized Health Care Education/Training Program Deptarment of Urology University of Miama Miller School, Crb 1120 Nw 14th Street Suite 1551c, Miami, FL 33136 2020-04-22
1578100996 Alex Aziz Al Khoury Internal Medicine 1120 Nw 14th St. Suite 1112, Miami, FL 33136 2019-12-04
1437708872 Marie Jeanjean Genetic Counselor, MS 1501 Nw 10th Avenue, Brb 334 (m860), Miami, FL 33136 2019-09-09
1710543905 Tal Friehmann Student in an Organized Health Care Education/Training Program Jackson Memorial Hospital, Breast Imaging Dep, 1611 Nw 12 Avenue, Miami, FL 33136 2019-05-14
1285297895 Omar Munoz Student in an Organized Health Care Education/Training Program 1611 Nw 12th Av., Psychiatry Department, Miami, FL 33136 2019-04-18
1902369648 Seyedeh Haleh Amirian Student in an Organized Health Care Education/Training Program 1611 12th Avenue, Holtz Buiding, East Tower, 2169, Miami, FL 33136 2019-04-10
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Taxonomy Information

Taxonomy Code 222Q00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Developmental Therapist

Taxonomy Definition

A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.
Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063047918 Tia Brown Morgan Developmental Therapist 12035 Sw 218th St, Miami, FL 33170-2834 2020-03-10
1104450576 Samantha Hernandez Developmental Therapist 8847 Sw 12th St, Miami, FL 33174-3301 2020-02-25
1033759436 Yudima Fernandez Heredia Developmental Therapist 14909 Sw 80th St Apt 205, Miami, FL 33193-3149 2020-01-14
1982241543 Susana Altagracia Sanchez Developmental Therapist 9440 Fontainebleau Blvd Apt 417, Miami, FL 33172-5559 2019-12-03
1699320085 Nubis M Perks Developmental Therapist 16102 Sw 103rd Ct, Miami, FL 33157-3146 2019-08-02
1174181085 Lil Susana Basulto Developmental Therapist 9110 Sw 137th Ave Apt 208, Miami, FL 33186-1414 2019-06-05
1003395971 Neisa Fernandez Perez Developmental Therapist 14750 Sw 26th St Ste 209, Miami, FL 33185-5937 2018-08-10
1649776774 Janet Martinez Developmental Therapist 9141 Sw 153rd Psge, Miami, FL 33196 2018-04-05
1467965137 Taniuska Alberti Martinez Developmental Therapist 1235 Sw 24th Ave, Miami, FL 33135-4823 2017-11-15
1174032031 Ismery D Morales Martinez Developmental Therapist 6200 W Flagler St, Miami, FL 33144-3068 2017-09-22
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Competitor

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City MIAMI
Zip Code 33136

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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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