IVAN ERNESTO KIDD BARALT SA-C
NPI 1790651917
Specialist/Technologist, Other - Surgical Assistant in Miami, FL

Active since October 14, 2025
145 SW 8TH ST UNIT 2101, MIAMI, FL 33130(305) 322-7894(305) 322-7894 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ivan Ernesto Kidd Baralt Sa-c NPPES

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

IVAN ERNESTO KIDD BARALT SA-C (NPI 1790651917) is an individual surgical assistant in Miami, Florida, licensed in Florida (20-190) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1790651917
Entity TypeIndividualMale
Primary Taxonomy246ZC0007X
Provider Legal NameIVAN ERNESTO KIDD BARALTCredential: SA-C
Location Address145 SW 8TH ST UNIT 2101Miami, FL 33130-3664
Mailing Address145 Sw 8th St Unit 2101Miami, FL 33130-3664 · (305) 322-7894 · Fax (305) 322-7894
Fax(305) 322-7894
Sole ProprietorYes
Enumeration DateOctober 14, 2025
Last NPPES UpdateOctober 24, 2025
NPPES CertifiedOctober 14, 2025
NPI 1790651917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
License Licensed in FL · 20-190
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.

Also ListedPhysician AssistantTaxonomy 363A00000X · License 2832-P.A. (PR)
145 SW 8TH ST UNIT 2101, Miami, FL 33130

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Practitioner (Family)
145 SW 8TH ST UNIT 2101
MIAMI, FL 33130

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790651917, enumerated as an "individual" on October 14, 2025.

The provider is located at 145 SW 8TH ST UNIT 2101 MIAMI, FL 33130 and the phone number is (305) 322-7894.

Specialist/Technologist, Other with taxonomy code 246ZC0007X and a focus in Surgical Assistant.