Ana G Beauchamp-Irizarry, MD
Individual provider Active NPI Internal Medicine Physician · Ponce, PR
NPI 1104018175 · NPPES record last updated Sep 29, 2016
Key facts
- NPI
- 1104018175
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 17948 (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
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 3
Medicare Care Compare profile
- 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
- Hospital Metropolitano Dr Pila Home Care
- Hospicio la Paz Inc
- Hospital Metropolitano Dr Pila
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111017000740 | PR | Practitioner - Internal Medicine | 4789856758 | Practice locations: Ponce, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17948 | PR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Ponce Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 17948 | PR | Yes |
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
Other providers in Ponce, PR
- Edna Giselle Batiz
- Jose F Battistini-Christian
- Adriana Nicole Battistini
- Gil Bauzo Nieves
- BCS Pulmonary Services, PSC
- Valerie Bedard
- Jan Carlos Bedics
- Andrea Belaza Saldarriaga
- Visar Belegu
- Bella Vista Medicine Office P S C
All providers in Ponce, PR · Internal Medicine Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.