Individual provider Active NPI

Ana Ivette Irizarry-Toro, MA

  • Counseling Psychologist
  • San German, PR
National Provider Identifier
1013290790
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
4007 Issued in PR
Practice address
94 Calle Marmol
Urb. Pedregal
San German, PR 00683-8518
Phone
(939) 640-2761
NPI assigned
Sep 20, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 4007 PR Primary

Addresses

Primary practice location

94 Calle Marmol
Urb. Pedregal
San German, PR 00683-8518

Mailing address

94 Calle Marmol
Urb. Pedregal
San German, PR 00683-8518
Phone (939) 640-2761

Other names 1

  • Mrs. Ana I. Irizarry-Toro Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
4007PRMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1013290790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 CALLE MARMOL",
            "address_2": "URB. PEDREGAL",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006838518",
            "telephone_number": "939-640-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 CALLE MARMOL",
            "address_2": "URB. PEDREGAL",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006838518",
            "telephone_number": "939-640-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIZARRY-TORO",
        "first_name": "ANA",
        "middle_name": "IVETTE",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-20",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "4007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANA",
            "last_name": "IRIZARRY-TORO",
            "middle_name": "I.",
            "prefix": "MRS.",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San German, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.