Hector L. Irizarry, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

13171 Issued in PR

Practice address

Centro Internacional de Mercadeo
#90 Rd. 165, Suite 302
Guaynabo, PR 00968

Phone

(787) 474-2280

NPI assigned

Mar 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093839755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CENTRO INTERNACIONAL DE MERCAD",
            "address_2": "#90 RD. 165, SUITE 302",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00968",
            "telephone_number": "787-474-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO INTERNACIONAL DE MERCADEO",
            "address_2": "#90 RD. 165, SUITE 302",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00968",
            "telephone_number": "787-474-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIZARRY",
        "first_name": "HECTOR",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PR",
            "license": "13171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S-BLUE SHIELD",
            "identifier": "84284",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA HEALTH PLANS",
            "identifier": "9600074",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• International Radiology Center & Medical PSC
• Ippa Salud Coop
• Edwin Irizarry Rodriguez Sr.
• Teresa J. Irizarry-Caro, DMD
• Carol Y Irizarry-Robles, PHD
• Jose Juan Irizarry
• Juan E Irizarry, 0855B
• Leonor Irizarry, PSYD
• Maria A. Irizarry, MD
• Jose A Isado Zardon, DR

• Plastic Surgery Physician in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Plastic Surgery Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.