Individual provider Active NPI

Eduardo Antonio Irizarry Rivera, MD

  • General Practice Physician
  • Catano, PR
National Provider Identifier
1063976702
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
24703 Issued in PR
Practice address
10011 Ave. Pedro Albizo Campos Urb la Hacienda
Catano, PR 00962
Phone
(787) 614-3366
NPI assigned
Jan 28, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 24703 PR Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

10011 Ave. Pedro Albizo Campos Urb la Hacienda
Catano, PR 00962

Mailing address

MG28 Marina Bahia Plaza 15
Catano, PR 00962
Phone (787) 614-3366

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
I20251125004705 PR Practitioner - General PracticePractitioner - General Surgery 3476045584 Practice locations: Guayama, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Calle Plaza 15 MG28 Urbanizacion
Catano, PR 00962

Calle Plaza 15 MG28 Urbanizacion Maria Bahia
Catano, PR 00962

PO Box
Suite 43
Aibonito, PR 00705

Urbanizacion la Hacienda
Avenida Pedro Albizu Campos
Guayama, PR 00784-0011
Phone (787) 864-4300

Hospital & facility affiliations

  • Hospital Menonita Guayama Hospital, Guayama, PR, CCN 400048

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24703PRMDGeneral Practice Physician

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1063976702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MG28 MARINA BAHIA PLAZA 15",
            "city": "CATANO",
            "state": "PR",
            "postal_code": "00962",
            "telephone_number": "787-614-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10011 AVE. PEDRO ALBIZO CAMPOS URB LA HACIENDA",
            "city": "CATANO",
            "state": "PR",
            "postal_code": "00962",
            "telephone_number": "787-614-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIZARRY RIVERA",
        "first_name": "EDUARDO",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-28",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "24703",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catano, PR

Sources for this page

Verify at the official NPI Registry.