Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Saint Teresa of Avila Healthcare PA

Organization Family Medicine Physician · NPI 1487450888

Saint Teresa of Avila Healthcare PA is a Family Medicine Physician in Vero Beach, Florida. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
6
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1766 20th Ave Ste 2
Vero Beach, FL 32960-3632
Phone: (772) 539-0214
Fax: (772) 298-4170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Family Medicine Physician Taxonomy 207Q00000X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X
Primary Care Nurse Practitioner Taxonomy 363LP2300X

Record details

NPI number1487450888
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniela Ibarra — Authorized Official · (772) 539-0214
Other names Saint Teresa Of Avila Healthcare
NPI enumeratedFebruary 25, 2025
Last updated in NPPESDecember 19, 2025
Certification dateDecember 19, 2025
Mailing address1766 20th Ave Ste 2, Vero Beach, FL 32960-3632

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