Vivian K Ibanez
Specialist in East Boston, Massachusetts
1174907588- Practice location
- 130 Condor Street, East Boston, MA 02128
- Phone
- 617-569-6560
- Fax
- —
- Last updated
- July 15, 2015
Vivian Karina Ibanez is a Specialist based in East Boston, MA. Vivian Karina Ibanez practices in East Boston, MA. The NPI Number for Vivian Karina Ibanez is 1174907588 and holds a License No. 042317215 (MA). The current practice location address for Vivian Karina Ibanez is 130 Condor Street, East Boston, MA 02128 and can be reached out via phone at 617-569-6560.
Provider Profile Details
- NPI Number
- 1174907588
- Provider Name
- Vivian Karina Ibanez
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 130 Condor Street, East Boston, MA 02128
- Phone Number
- 617-569-6560
- Primary Taxonomy
- Specialist · 174400000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 15, 2015
- Last Update Date
- July 15, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 130 Condor Street
East Boston, MA 02128 - City
- East Boston
- State
- Massachusetts
- Zip
- 02128
- Phone Number
- 617-569-6560
Provider Business Mailing Address Details
- Address
- 31 Ware St.
Dedham, MA 02026 - City
- Dedham
- State
- MA
- Zip
- 02026
- Phone Number
- 617-838-7287
License Information
- License Number
- 042317215
- License State
- MA
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialists near East Boston, MA
View all Specialists in East Boston →Frequently Asked Questions
What is the NPI number of Vivian K Ibanez?
The NPI number of Vivian K Ibanez is 1174907588. It was assigned on July 15, 2015 and is currently active in the NPPES registry.
What is the specialty of Vivian K Ibanez?
Vivian K Ibanez is registered under the primary taxonomy Specialist (code 174400000X), licensed in MA under license number 042317215.
Where does Vivian K Ibanez practice?
The practice location is 130 Condor Street, East Boston, MA 02128. The office can be reached at 617-569-6560 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174907588 directly on the NPPES registry website.