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JUAN CARLOS IBARRA MORENO SA-C
NPI 1780126219
Specialist/Technologist, Other - Surgical Assistant in Fort Myers, FL

Active since November 15, 2016
6150 DIAMOND CENTRE CT UNIT 1200, FORT MYERS, FL 33912(239) 344-9786(239) 344-9215 Get Directions Write a Review

NPPES record last updated: April 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 10, 2020, Nov 15, 2016 (2 updates tracked since 2016).

About Juan Carlos Ibarra Moreno Sa-c NPPES

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

JUAN CARLOS IBARRA MORENO SA-C (NPI 1780126219) is an individual surgical assistant in Fort Myers, Florida, licensed in Florida (13-514) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1780126219
Entity TypeIndividualMale
Primary Taxonomy246ZC0007X
Provider Legal NameJUAN CARLOS IBARRA MORENOCredential: SA-C
Location Address6150 DIAMOND CENTRE CT UNIT 1200Fort Myers, FL 33912-7135
Mailing Address6150 Diamond Centre Ct # 1300Fort Myers, FL 33912-4367 · (239) 344-9786
Phone(239) 344-9786
Fax(239) 344-9215
Sole ProprietorYes
Enumeration DateNovember 15, 2016
Last NPPES UpdateApril 10, 20202 updates tracked since enumeration
NPPES CertifiedApril 10, 2020
✔ NPI 1780126219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
License✔ Licensed in FL · 13-514
Definition
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
6150 DIAMOND CENTRE CT UNIT 1200, Fort Myers, FL 33912
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Other Providers at the Same Location NPPES

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

BETHANY DANIELLE WISNIEWSKI PA-C
Physician Assistant (Surgical)
6150 DIAMOND CENTRE CT UNIT 1200
FORT MYERS, FL 33912
Lee County (239) 344-9786

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 Juan Ibarra Moreno's NPI number?

The NPI number for Juan Ibarra Moreno is 1780126219. It was assigned to this individual provider in the NPPES registry on November 15, 2016.

Where is Juan Ibarra Moreno located?

Juan Ibarra Moreno practices at 6150 Diamond Centre Ct Unit 1200, Fort Myers, FL 33912. The listed phone number is (239) 344-9786.

What is Juan Ibarra Moreno's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for Juan Ibarra Moreno was last updated on April 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.