Ivan Ernesto Kidd Baralt, SA-C
Ivan Ernesto Kidd Baralt, SA-C is a Physician Assistant in Miami, Florida. Practices as a sole proprietor. Licensed in Florida and Puerto Rico.
- Licensed in
- FL, PR
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
145 SW 8th St Unit 2101Miami, FL 33130-3664
Phone: (305) 322-7894
Fax: (305) 322-7894
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Assistant (primary) | Taxonomy 246ZC0007X · Licence 20-190 (FL) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence 2832-P.A. (PR) |
Record details
| NPI number | 1790651917 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | SA-C |
| Sole proprietor | Yes |
| NPI enumerated | October 14, 2025 |
| Last updated in NPPES | October 24, 2025 |
| Certification date | October 14, 2025 |
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