- Practice location
- Po Box Ph, Chinle, AZ 86503-8000
- Phone
- 928-674-7001
- Fax
- —
- Last updated
- December 9, 2019
Manuel Luis Iravedra is a Dentist, Periodontics based in Chinle, AZ. Manuel Luis Iravedra practices in Chinle, AZ and has the professional credentials of DMD, BSPH. The NPI Number for Manuel Luis Iravedra is 1801941422 and holds a License No. 2750 (PR). The current practice location address for Manuel Luis Iravedra is Po Box Ph, Chinle, AZ 86503-8000 and can be reached out via phone at 928-674-7001.
Provider Profile Details
- NPI Number
- 1801941422
- Provider Name
- Manuel Luis Iravedra
- Credential
- DMD, BSPH
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- Po Box Ph, Chinle, AZ 86503-8000
- Phone Number
- 928-674-7001
- Primary Taxonomy
- Dentist, Periodontics · 1223P0300X
- Sole Proprietor
- Yes
- Other Names
- Manuel Luis Iravedra Gonzalez, DMD, BSPH (Other Name)
- Provider Enumeration Date
- January 24, 2007
- Last Update Date
- December 9, 2019
- Certification Date
- December 9, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Po Box Ph
Chinle, AZ 86503-8000 - City
- Chinle
- State
- Arizona
- Zip
- 86503-8000
- Phone Number
- 928-674-7001
Provider Business Mailing Address Details
- Address
- 1814 Calle Glasgow
College Park
San Juan, PR 00921-4814 - City
- San Juan
- State
- PR
- Zip
- 00921-4814
- Phone Number
- 787-758-8510
License Information
- License Number (1)
- 2750
- License State (1)
- PR
- Taxonomy (1)
- Pharmacist · 183500000X
- License Number (2)
- D1388
- License State (2)
- PR
- Taxonomy (2)
- Dentist, Periodontics · 1223P0300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Periodontics providers near Chinle, AZ
View all Dentist, Periodontics providers in Chinle →Frequently Asked Questions
What is the NPI number of Dr. Manuel L Iravedra, DMD, BSPH?
The NPI number of Dr. Manuel L Iravedra, DMD, BSPH is 1801941422. It was assigned on January 24, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Manuel L Iravedra, DMD, BSPH?
Dr. Manuel L Iravedra, DMD, BSPH is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in PR under license number 2750.
Where does Dr. Manuel L Iravedra, DMD, BSPH practice?
The practice location is Po Box Ph, Chinle, AZ 86503-8000. The office can be reached at 928-674-7001 (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 1801941422 directly on the NPPES registry website.