OrganizationActive
Tibbar Medical PLLC
NPI 1730478348 · Vascular & Interventional Radiology Physician · Coral Gables, FL
Provider details
- NPI number
- 1730478348
- Entity type
- Organization
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jackeline Gomez Jorge, Manager(305) 962-8375
- License
- ME 66752 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
401 Miracle Mile
Suite 103
Coral Gables, FL 33134
Phone: (305) 962-8375
Approximate (ZIP-level) locationGet directions
Mailing address
401 Miracle Mile
Coral Gables, FL 33134
Registry dates
- Enumerated
- 2011-04-04
- Last updated
- 2017-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.