Active NPIIndividual provider

Dr. Amidcar J Matos Irizarry, PSYD

Psychologist, Clinical in San Juan, Puerto Rico

NPI Number1154400067
Practice location
1413 Ave Fernandez Juncos Suite 3C, San Juan, PR 00909-2616
Fax
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Last updated
June 28, 2024

Amidcar Jose Matos Irizarry is a Psychologist, Clinical based in San Juan, PR. Amidcar Jose Matos Irizarry practices in San Juan, PR and has the professional credentials of PSYD. The NPI Number for Amidcar Jose Matos Irizarry is 1154400067 and holds a License No. 002415 (PR). The current practice location address for Amidcar Jose Matos Irizarry is 1413 Ave Fernandez Juncos Suite 3C, San Juan, PR 00909-2616 and can be reached out via phone at 787-362-3080.

Provider Profile Details

NPI Number
1154400067
Provider Name
Amidcar Jose Matos Irizarry
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
1413 Ave Fernandez Juncos Suite 3C, San Juan, PR 00909-2616
Phone Number
787-362-3080
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
November 2, 2006
Last Update Date
June 28, 2024
Certification Date
June 28, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1413 Ave Fernandez Juncos Suite 3C
San Juan, PR 00909-2616
Zip
00909-2616
Phone Number
787-362-3080
San Juan, PR 00909Get directions →

Provider Business Mailing Address Details

Address
Urh Tintillo Gardens Calle 6 H-16
Guaynabo, PR 00966-0000
City
Guaynabo
State
PR
Zip
00966-0000
Phone Number
787-362-3080

License Information

License Number
002415
License State
PR
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Amidcar J Matos Irizarry, PSYD?

The NPI number of Dr. Amidcar J Matos Irizarry, PSYD is 1154400067. It was assigned on November 2, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Amidcar J Matos Irizarry, PSYD?

Dr. Amidcar J Matos Irizarry, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in PR under license number 002415.

Where does Dr. Amidcar J Matos Irizarry, PSYD practice?

The practice location is 1413 Ave Fernandez Juncos Suite 3C, San Juan, PR 00909-2616. The office can be reached at 787-362-3080 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154400067 directly on the NPPES registry website.

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