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THERESA REYNOSO-IBARRA PA-C
NPI 1063363430
Physician Assistant in Miami Shores, FL

Active since February 03, 2026
11300 NE 2ND AVE, MIAMI SHORES, FL 33161(305) 899-3000 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theresa Reynoso-ibarra Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERESA REYNOSO-IBARRA PA-C (NPI 1063363430) is an individual physician assistant in Miami Shores, Florida and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1063363430
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTHERESA REYNOSO-IBARRACredential: PA-C
Location Address11300 NE 2ND AVEMiami Shores, FL 33161-6695
Mailing Address11300 Ne 2nd AveMiami Shores, FL 33161-6628
Phone(305) 899-3000
Sole ProprietorYes
Enumeration DateFebruary 3, 2026
NPPES CertifiedFebruary 3, 2026
✔ NPI 1063363430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
11300 NE 2ND AVE, Miami Shores, FL 33161
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAYLEE EILEEN YAGER PA
Physician Assistant
11300 NE 2ND AVE
MIAMI SHORES, FL 33161
Miami-Dade County (305) 899-3000
CHELSEA ANN PADUANO
Student in an Organized Health Care Education/Training Program
11300 NE 2ND AVE
MIAMI SHORES, FL 33161
Miami-Dade County (305) 899-3000
KEVIN L COLON-RODRIGUEZ
Student in an Organized Health Care Education/Training Program
11300 NE 2ND AVE
MIAMI SHORES, FL 33161
Miami-Dade County (305) 899-3000
LUISA LEMOS
Student in an Organized Health Care Education/Training Program
11300 NE 2ND AVE
MIAMI SHORES, FL 33161
Miami-Dade County (305) 899-3000
KATE MACKENZIE WELZ
Physician Assistant
11300 NE 2ND AVE
MIAMI SHORES, FL 33161
Miami-Dade County (305) 899-3000
SARAH LUCY EVANS CRNA
Nurse Anesthetist, Certified Registered
11300 NE 2ND AVE
MIAMI SHORES, FL 33161
Miami-Dade County (360) 621-3275
MISS MARNIE LARISSA HAWES I ATC
Specialist/Technologist (Athletic Trainer)
11300 NE 2ND AVE
MIAMI SHORES, FL 33161
Miami-Dade County (305) 899-3000
RAFNIE DUVERT
Specialist/Technologist (Athletic Trainer)
11300 NE 2ND AVE
MIAMI SHORES, FL 33161
Miami-Dade County (772) 626-5104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Reynoso-ibarra's NPI number?

The NPI number for Theresa Reynoso-ibarra is 1063363430. It was assigned to this individual provider in the NPPES registry on February 3, 2026.

Where is Theresa Reynoso-ibarra located?

Theresa Reynoso-ibarra practices at 11300 NE 2nd Ave, Miami Shores, FL 33161. The listed phone number is (305) 899-3000.

What is Theresa Reynoso-ibarra's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Theresa Reynoso-ibarra was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.