Active NPIIndividual providerSole proprietor

Marisel Irizarry Lugo, OD

Optometrist in San German, Puerto Rico

NPI Number1316085368
Practice location
San German Medical Plaza, Suite 105, San German, PR 00638
Fax
787-264-3830
Last updated
July 9, 2007

Marisel Irizarry Lugo is an Optometrist based in San German, PR. Marisel Irizarry Lugo practices in San German, PR and has the professional credentials of OD. The NPI Number for Marisel Irizarry Lugo is 1316085368 and holds a License No. 587 (PR). The current practice location address for Marisel Irizarry Lugo is San German Medical Plaza, Suite 105, San German, PR 00638 and can be reached out via phone at 787-264-3830 and via fax at 787-264-3830.

Provider Profile Details

NPI Number
1316085368
Provider Name
Marisel Irizarry Lugo
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
San German Medical Plaza, Suite 105, San German, PR 00638
Phone Number
787-264-3830
Fax Number
787-264-3830
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 2, 2007
Last Update Date
July 9, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
San German Medical Plaza
Suite 105
San German, PR 00638
Zip
00638
Phone Number
787-264-3830
Fax Number
787-264-3830
San German, PR 00638Get directions →

Provider Business Mailing Address Details

Address
Po Box 63
Sabana Grande, PR 00637-0063
City
Sabana Grande
State
PR
Zip
00637-0063
Phone Number
787-487-0890
Fax Number
787-264-3830

License Information

License Number
587
License State
PR
Taxonomy
Optometrist · 152W00000X · 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 Marisel Irizarry Lugo, OD?

The NPI number of Marisel Irizarry Lugo, OD is 1316085368. It was assigned on February 2, 2007 and is currently active in the NPPES registry.

What is the specialty of Marisel Irizarry Lugo, OD?

Marisel Irizarry Lugo, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in PR under license number 587.

Where does Marisel Irizarry Lugo, OD practice?

The practice location is San German Medical Plaza, Suite 105, San German, PR 00638. The office can be reached at 787-264-3830 (phone) or 787-264-3830 (fax).

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 1316085368 directly on the NPPES registry website.

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