Lazaro Ibanez Stuart

NPI 1659149425 · on the registry since 2023 · sole proprietor

Practice

Address: 6071 Nw 198th Ter
Hialeah, FL 33015
Phone: (305) 613-2689
Organisation at this address: Jast Home Llc
Roque Group Homes Inc
Ambars Group Home Corp
Ambars Group Home Corp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 106S00000X
106S00000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-12-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida