NPI 1003332073
Juan C Gonzalez Ibarra
Practice location
- Address
- 800 NE 12th Ave APT# C214, Homestead, FL 33030
- Phone
- (786) 691-0896
- Mailing address
- 800 NE 12th Ave APT C214, Homestead, FL 33030-5005
Registered specialties
Behavior Technician
Primary
Registry record
- NPI
- 1003332073
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 21 Aug 2017
- Record last updated
- 21 Jul 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.