Active NPI
Eduardo Antonio Irizarry Rivera, MD
- General Practice Physician
- Catano, PR
National Provider Identifier
1063976702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 24703
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251125004705 | PR | Practitioner - General Practice | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24703 | PR | MD | General 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.