Individual provider · Type 1 NPI

Ivan Ernesto Kidd Baralt, SA-C

Surgical Assistant · Miami, FL

NPI number 1790651917 Active

Practice location

145 SW 8th St Unit 2101
Miami, FL 33130-3664

Call (305) 322-7894 Map

Fax (305) 322-7894

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X2832-P.A. (PR)
Surgical Assistant Primary 246ZC0007X20-190 (FL)

Surgical Assistant: A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in h…

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About NPI 1790651917

Ivan Ernesto Kidd Baralt, SA-C's National Provider Identifier is 1790651917, issued on Oct 14, 2025. The primary taxonomy on file is Surgical Assistant (246ZC0007X), and the practice location is in Miami, FL. The record was last updated on Oct 24, 2025.