VIVIAN KARINA IBANEZ
NPI 1174907588
Specialist in East Boston, MA

Q: What is Vivian Ibanez's NPI number?

The NPI number for Vivian Ibanez is 1174907588. It was assigned to this individual provider in the NPPES registry on July 15, 2015.

Q: What is Vivian Ibanez's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Vivian Ibanez was last updated on July 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.

Active since July 15, 2015

130 CONDOR STREET, EAST BOSTON, MA 02128(617) 569-6560 Get Directions Write a Review

NPPES record last updated: July 15, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Vivian Karina Ibanez NPPES

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

VIVIAN KARINA IBANEZ (NPI 1174907588) is an individual specialist in East Boston, Massachusetts, licensed in Massachusetts (042317215) and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1174907588

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameVIVIAN KARINA IBANEZ

Location Address130 CONDOR STREETEast Boston, MA 02128

Mailing Address31 Ware St.Dedham, MA 02026 · (617) 838-7287

Phone(617) 569-6560

Sole ProprietorNo

Enumeration DateJuly 15, 2015

✔ NPI 1174907588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in MA · 042317215

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

130 CONDOR STREET, East Boston, MA 02128

Open in Google Maps ↗

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 Vivian Ibanez's NPI number?

The NPI number for Vivian Ibanez is 1174907588. It was assigned to this individual provider in the NPPES registry on July 15, 2015.

Where is Vivian Ibanez located?

Vivian Ibanez practices at 130 Condor Street, East Boston, MA 02128. The listed phone number is (617) 569-6560.

What is Vivian Ibanez's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Vivian Ibanez was last updated on July 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.