AGUSTIN M. IBARROLA MD – NPI #1043206600
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

AGUSTIN IBARROLA is a surgeon located in LOXAHATCHEE, FL. NPPES has assigned the NPI number 1043206600 to AGUSTIN IBARROLA on September 20, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was previously updated about 7 years ago on Jun 19, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AGUSTIN IBARROLA below.

NPI Profile for
AGUSTIN M. IBARROLA

NPI Number
1043206600
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
AGUSTIN M. IBARROLA
Credentials
MD
Primary location
12955 PALMS WEST DR STE 101
LOXAHATCHEE, FL 33470
Phone: (561) 798-1515 Fax: (561) 798-9282
1 Other location(s):
130 JFK Dr Ste 134
Atlantis, FL 33462-1133
Phone: (561) 964-2211
Fax: (561) 649-3378
Mailing address
6415 LAKE WORTH RD STE 102
GREENACRES, FL 33463-3009
Phone: (561) 331-0808 Fax: (561) 331-5263
Sole Proprietor
No
Updated
Identifiers

Identifiers for AGUSTIN IBARROLA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL250929600
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0129X
- Surgery / Vascular Surgery (Primary)
FL ME71752

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.