Theresa Reynoso-Ibarra, PA-C
NPI #1063363430 in Miami Shores, Florida
Provider Information
- NPI Number
- 1063363430
- Entity Type
- Individual
- Name
- Theresa Reynoso-Ibarra, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Feb 3, 2026
- Last Updated
- Feb 3, 2026
Practice Location
- Address
- 11300 NE 2ND AVE
- City
- Miami Shores
- State
- Florida
- ZIP Code
- 33161-6695
- Phone
- (305) 899-3000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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