Ingrid Aime Irizarry, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

3269 Issued in PR

Practice address

S1 Calle Valeriana
Urb Jardines Fagot
Ponce, PR 00716

Phone

(787) 840-3435

NPI assigned

Jun 14, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ia Dental LLC

  • Dentist
  • Guaynabo, PR
  • NPI 1154294759
  NPD
• Pishadent,LLC

  • Dentist
  • Ponce, PR
  • NPI 1952747545
  NPD (past)
• Ponce Dental Group

  • Dentist
  • Ponce, PR
  • NPI 1578602447
  NPD (past)

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1023548823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7245",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007327245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S1 CALLE VALERIANA",
            "address_2": "URB JARDINES FAGOT",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-840-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIZARRY",
        "first_name": "INGRID",
        "middle_name": "AIME",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "3269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adelle Irizarry
• Arlene Irizarry, MD
• Eduardo Julian Irizarry, MD
• Elmer Luis Irizarry, M.D.
• Francheska Irizarry, LND
• Jean Carlos Irizarry
• Jessica Cristina Irizarry
• Jiselly Irizarry, MSW
• Marjorie M Irizarry
• Patricia Enid Irizarry, DMD, MPH

• Dentist in Ponce, PR
• Providers in Ponce, PR by specialty
• Dentist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.