Myria A. Irizarry, M.S.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

174 Issued in PR

Practice address

Be28 Calle Rio Amazonas
Urb.Valle Verde,
Bayamon, PR 00961-3273

Phone

(787) 403-2899

NPI assigned

Apr 26, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013137793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BE28 CALLE RIO AMAZONAS",
            "address_2": "URB.VALLE VERDE,",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009613273",
            "telephone_number": "787-403-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BE28 CALLE RIO AMAZONAS",
            "address_2": "URB.VALLE VERDE,",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009613273",
            "telephone_number": "787-403-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIZARRY",
        "first_name": "MYRIA",
        "middle_name": "A.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Interventional Associates
• Jose F Irizarry Rodriguez, MD
• Gabriel Irizarry Villafane, M.D.
• Johanna Irizarry
• Marilyn Irizarry, OT
• Pablo Enrique Irizarry, MD
• Irm Emergency Services PSC
• Isamen Inc.
• Carlos Alberto Isidron Fleites, MD
• Isla Motion Rehab LLC

• Clinical Psychologist in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.