Ivan Ernesto Kidd Baralt, SA-C is a
Specialist/technologist, Other - Surgical Assistant based in Miami, Florida. Ivan Ernesto Kidd Baralt is licensed to practice in Florida (license number 20-190) and his current practice location is
145 Sw 8th St Unit 2101, Miami, Florida. He can be reached at his office (for appointments etc.) via phone at
(305) 322-7894.
NPI number for Ivan Ernesto Kidd Baralt is 1790651917 and his current mailing address is 145 Sw 8th St Unit 2101, Miami, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790651917.
Provider's Profile
| Full Name | Ivan Ernesto Kidd Baralt |
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| Gender | Male |
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| Speciality | Specialist/technologist, Other - Surgical Assistant |
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| Location | 145 Sw 8th St Unit 2101, Miami, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1790651917
- Provider Enumeration Date: 10/14/2025
- Last Update Date: 10/24/2025
Medical Identifiers
Medical identifiers for Ivan Ernesto Kidd Baralt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790651917 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 2832-P.A. (Puerto Rico) | Secondary |
| 246ZC0007X | Specialist/technologist, Other - Surgical Assistant | 20-190 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ivan Ernesto Kidd Baralt is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ivan Ernesto Kidd Baralt, SA-C
145 Sw 8th St Unit 2101,
Miami, FL 33130-3664
Ph: (305) 322-7894 | Ivan Ernesto Kidd Baralt, SA-C
145 Sw 8th St Unit 2101,
Miami, FL 33130-3664
Ph: (305) 322-7894 |
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