Active NPI
In Prosthodontics LLC
- Prosthodontics
- Mayaguez, PR
National Provider Identifier
1083437172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- Legal business name
- IN PROSTHODONTICS LLC
- Practice address
- 351 Ave Hostos Ste 214
Mayaguez, PR 00680-1503 - Phone
- (787) 806-2442
- NPI assigned
- Nov 6, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Andres Neftali Irizarry Nazario, DMD, MS
- Title
- Owner
- Phone
- (787) 447-6944
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | Primary |
Addresses
Primary practice location
351 Ave Hostos Ste 214
Mayaguez, PR 00680-1503
Mailing address
Urb. Sultana 65 Malaga St.
Mayaguez, PR 00680
Phone (787) 447-6944
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497425359 | Medicaid | PR |
National Provider Directory
National Provider DirectoryLocations
351 Ave Hostos
Ste 214
Mayaguez, PR 00680
Phone (787) 806-2442
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Prosthodontics
- Mayaguez, PR
- NPI 1497425359
-
- Periodontics
- Mayaguez, PR
- NPI 1871648915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748995200000",
"number": "1083437172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB. SULTANA 65 MALAGA ST.",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "00680",
"telephone_number": "787-447-6944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 AVE HOSTOS STE 214",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006801503",
"telephone_number": "787-806-2442"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IN PROSTHODONTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-06",
"last_updated": "2025-06-04",
"certification_date": "2025-06-04",
"status": "A",
"authorized_official_last_name": "IRIZARRY NAZARIO",
"authorized_official_first_name": "ANDRES",
"authorized_official_middle_name": "NEFTALI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "787-447-6944",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD, MS"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Prosthodontics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1497425359",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mayaguez, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.