IVONNE ILEANA JACOMINO LOPEZ (NPI# 1972102192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972102192 |
| Entity Type | Individual |
| Full Name | IVONNE ILEANA JACOMINO LOPEZ |
| Credential | FNP |
| Practice Address |
4661 W 8th Ln Hialeah FL 33012-3517 |
| Practice Telephone | 7867280785 |
| Mailing Telephone | 7867280785 |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 9342058 | FL | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
11009290 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4661 W 8TH LN |
| City | HIALEAH |
| State | FL |
| Zip Code | 33012-3517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699324160 | Maria Antonia Espinosa | Behavior Technician | 520 W 38th Pl, Hialeah, FL 33012 | 2019-09-08 |
| 1972157428 | Fernandez Orthofeet Corp | Prosthetic/Orthotic Supplier | 3750 W 16th Ave Suite 102, Hialeah, FL 33012 | 2019-08-01 |
| 1790267045 | Teresita De Jesus Santander | Nurse Practitioner | 1414 West 43dr Pl, Hialeah, FL 33012 | 2018-09-04 |
| 1245721760 | Physical Therapy Now of South Florida LLC | Clinic/Center | 3595 West 20 Ave Ste B, Hialeah, FL 33012 | 2018-05-21 |
| 1346741618 | Yamirka Sanchez Perez | General Practice | 1840 W 49th St Ste 105, Hialeah, FL 33012 | 2018-02-22 |
| 1356840334 | Janet Rodriguez | Behavior Technician | 5430 W 10th Ct, Hialeah, FL 33012 | 2018-02-06 |
| 1235644642 | Gustavo Brache | Massage Therapist | 3905 West 20 Avenue, Suite 125, Hialeah, FL 33012 | 2017-12-07 |
| 1962911487 | Yenisey Garabito | Behavior Technician | 1805west 56st Apt 109, Hialeah, FL 33012 | 2017-09-27 |
| 1023536026 | Florida Dental Alliance | Dentist | 4355 W 16 Ave Suite, #205a, Hialeah, FL 33012 | 2017-08-30 |
| 1861919508 | Masury Montes De Oca | Behavior Technician | 261 W 35 Street, Hialeah, FL 33012 | 2017-08-24 |
| Find all providers in zip 33012 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385516 | Beatriz Oliva | Nurse Practitioner | 5380 W 24th Ave, Hialeah, FL 33016-4005 | 2020-10-30 |
| 1437758307 | Yoandris Maikel Lorente Milan | Nurse Practitioner | 1199 W 35th St Apt 203, Hialeah, FL 33012-4983 | 2020-10-22 |
| 1912505629 | Mariela Rios | Nurse Practitioner | 4395 W 12th Ln Apt D, Hialeah, FL 33012-5910 | 2020-10-14 |
| 1720685514 | Antonio Javier Sanchez Gonzalez | Nurse Practitioner | 7000 W 12th Ave Ste 21-22, Hialeah, FL 33014-5154 | 2020-10-05 |
| 1780281501 | Maria Del Carmen Leon Padilla | Nurse Practitioner | 7270 Nw 174th Ter Apt 203, Hialeah, FL 33015-7276 | 2020-10-05 |
| 1144837634 | Ailin Guada | Nurse Practitioner | 17755 Nw 87th Ct, Hialeah, FL 33018-6604 | 2020-09-28 |
| 1972110765 | Eduardo Miguel Padilla Berdugo | Nurse Practitioner | 1085 W 27th St Apt 4, Hialeah, FL 33010-1160 | 2020-09-26 |
| 1619583309 | Merlen Caridad Bryant | Nurse Practitioner | 4340 East 9 Court, Hialeah, Hialeah, FL 33013-3301 | 2020-09-18 |
| 1801401617 | Nicola Marzouca | Nurse Practitioner | 20042 W Oakmont Cir, Hialeah, FL 33015-2054 | 2020-09-09 |
| 1083227409 | Judith Penichet Alvarez | Nurse Practitioner | 6248 Nw 171st St, Hialeah, FL 33015-4674 | 2020-08-25 |
| Find all providers in HIALEAH | ||||
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| 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.