SAINT TERESA OF AVILA HEALTHCARE PA NPI 1487450888

NPI Information

  • NPI: 1487450888
  • Provider Name: SAINT TERESA OF AVILA HEALTHCARE, PA
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • :
  • CLIA Number: 10D2327346
  • Address: 1766 20TH AVE
    VERO BEACH, FL
    ZIP 32960
  • Phone: (561) 719-8079

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NPI Details

SAINT TERESA OF AVILA HEALTHCARE, PA is a multi-specialty clinic center in Vero Beach, FL. SAINT TERESA OF AVILA HEALTHCARE, PA NPI is 1487450888. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

1766 20TH AVE
VERO BEACH, FL
ZIP 32960
Phone: (561) 719-8079

The provider's authorized official is Daniela Andreina Ibarra .
The authorized official title is Owner/manager and has the following contact phone number (561) 719-8079.

The CLIA number assigned to this NPI record is 10D2327346 - other - outpatient primary care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/25/2025 and was last updated on 10/14/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP2300XNurse PractitionerPrimary CareNo
2261QM0850XClinic/CenterAdult Mental HealthNo
3261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
4363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
5261QM1300XClinic/CenterMulti-SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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