Individual provider Active NPI

Ana G Beauchamp-Irizarry, MD

  • Internal Medicine Physician
  • Ponce, PR
National Provider Identifier
1104018175
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
17948 Issued in PR
Practice address
1935 Urb. San Antonio
Ave. Las Americas
Ponce, PR 00728-1815
Phone
(787) 306-2818
Fax
(787) 813-0798
NPI assigned
Aug 14, 2007
Last updated
Sep 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 17948 PR Primary

Addresses

Primary practice location

1935 Urb. San Antonio
Ave. Las Americas
Ponce, PR 00728-1815

Mailing address

PO Box 7132
Ponce, PR 00732-7132
Phone (787) 306-2818

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
I20111017000740 PR Practitioner - Internal Medicine 4789856758 Practice locations: Ponce, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ponce School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1935 Urb San Antonio
Ave Las Americas
Ponce, PR 00728-1815
Phone (787) 438-4517

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Ponce Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1104018175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7132",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007327132",
            "telephone_number": "787-306-2818",
            "fax_number": "787-813-0798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 URB. SAN ANTONIO",
            "address_2": "AVE. LAS AMERICAS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007281815",
            "telephone_number": "787-306-2818",
            "fax_number": "787-813-0798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUCHAMP-IRIZARRY",
        "first_name": "ANA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "17948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.