Active NPIIndividual providerSole proprietor

Ileana Irizarry Medina, MD

General Practice in San Juan, Puerto Rico

NPI Number1205955093
Practice location
581 Calle Segovia Fl 2, Urbanizacion Valencia, San Juan, PR 00923-1838
Fax
—
Last updated
July 8, 2007

Ileana Irizarry Medina is a General Practice based in San Juan, PR. Ileana Irizarry Medina practices in San Juan, PR and has the professional credentials of MD. The NPI Number for Ileana Irizarry Medina is 1205955093 and holds a License No. 16049 (PR). The current practice location address for Ileana Irizarry Medina is 581 Calle Segovia Fl 2, Urbanizacion Valencia, San Juan, PR 00923-1838 and can be reached out via phone at 787-546-5418.

Provider Profile Details

NPI Number
1205955093
Provider Name
Ileana Irizarry Medina
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
581 Calle Segovia Fl 2, Urbanizacion Valencia, San Juan, PR 00923-1838
Phone Number
787-546-5418
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 29, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
581 Calle Segovia Fl 2
Urbanizacion Valencia
San Juan, PR 00923-1838
Zip
00923-1838
Phone Number
787-546-5418
San Juan, PR 00923Get directions →

Provider Business Mailing Address Details

Address
581 Calle Segovia Fl 2
Urbanizacion Valencia
San Juan, PR 00923-1838
City
San Juan
State
PR
Zip
00923-1838
Phone Number
787-546-5418

License Information

License Number
16049
License State
PR
Taxonomy
General Practice · 208D00000X · 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 Ileana Irizarry Medina, MD?

The NPI number of Ileana Irizarry Medina, MD is 1205955093. It was assigned on March 29, 2007 and is currently active in the NPPES registry.

What is the specialty of Ileana Irizarry Medina, MD?

Ileana Irizarry Medina, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in PR under license number 16049.

Where does Ileana Irizarry Medina, MD practice?

The practice location is 581 Calle Segovia Fl 2, Urbanizacion Valencia, San Juan, PR 00923-1838. The office can be reached at 787-546-5418 (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 1205955093 directly on the NPPES registry website.

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