Individual provider Active NPI

Federico Salcedo-Irizarry, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • San Juan, PR
National Provider Identifier
1033470794
Registry record updated Sep 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
18766 Issued in PR
Practice address
Asem (Centro Medico de PR), Pathology Department
Barrio Monacillos
San Juan, PR 00922-2129
Phone
(787) 777-3535
Fax
(787) 777-3861
NPI assigned
May 30, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 18766 PR Primary

Addresses

Primary practice location

Asem (Centro Medico de PR), Pathology Department
Barrio Monacillos
San Juan, PR 00922-2129

Mailing address

Upr-Medical Sciences Campus, Pathology Department
P.O. Box 365067
San Juan, PR 00936-5067
Phone (787) 758-2525

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160609001491 PR Practitioner - Pathology 2163712704

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18766PRMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Laboratorio Clinico de Diego Corp Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410134400000",
    "number": "1033470794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UPR-MEDICAL SCIENCES CAMPUS, PATHOLOGY DEPARTMENT",
            "address_2": "P.O. BOX 365067",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009365067",
            "telephone_number": "787-758-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ASEM (CENTRO MEDICO DE PR), PATHOLOGY DEPARTMENT",
            "address_2": "BARRIO MONACILLOS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009222129",
            "telephone_number": "787-777-3535",
            "fax_number": "787-777-3861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALCEDO-IRIZARRY",
        "first_name": "FEDERICO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-30",
        "last_updated": "2014-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PR",
            "license": "18766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.