Iribar, Manuel Rafael

Iribar, Manuel Rafael is an individual health care provider with primary practice located at 2219 Hollywood Blvd Ste 101 , Hollywood FL 33020-6760. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Iribar, Manuel Rafael can be contacted via phone (954) 926-2900.

Contact Information

Primary practice address
2219 Hollywood Blvd Ste 101 Hollywood FL 33020-6760
Phone: (954) 926-2900
Fax: (954) 926-2956
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME41495 Florida

Profile Details

NPI number 1730171125
LBN Legal business name Iribar, Manuel Rafael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Nov 14th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730171125 NPPES
Florida MEDICAID 0681156

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