Organization Active NPI

Dr Mauro Iranzo General Surgeon PSC

  • Surgery Physician
  • Manati, PR
National Provider Identifier
1053643742
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
DR MAURO IRANZO GENERAL SURGEON PSC
Practice address
Doctors' Center Hospital Street #2 KM. 47.7
Medicina Especializada
Manati, PR 00674-8513
Phone
(787) 621-3379
Fax
(787) 621-3319
NPI assigned
Feb 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

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

Authorized official

Name
Dr. Mauro Iranzo, M.D.NPI 1871585208
Title
General Surgeon/President
Phone
(939) 645-4597

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

Doctors' Center Hospital Street #2 KM. 47.7
Medicina Especializada
Manati, PR 00674-8513

Mailing address

138 Ave Winston Churchill
PMB 526
San Juan, PR 00926-6013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100804000434 PR Part B Supplier - Clinic/Group Practice 6507999067 Receives reassigned benefits from 1 practitioner
Practice locations: Manati, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1053643742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 AVE WINSTON CHURCHILL",
            "address_2": "PMB 526",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DOCTORS' CENTER HOSPITAL STREET #2 KM. 47.7",
            "address_2": "MEDICINA ESPECIALIZADA",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006748513",
            "telephone_number": "787-621-3379",
            "fax_number": "787-621-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MAURO IRANZO GENERAL SURGEON PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-04",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "IRANZO",
        "authorized_official_first_name": "MAURO",
        "authorized_official_title_or_position": "GENERAL SURGEON/PRESIDENT",
        "authorized_official_telephone_number": "939-645-4597",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.