Emily Irizarry, MD

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

660 Issued in PR

Practice address

1519 Ave Ponce de Leon Ste 1105
San Juan, PR 00909-1722

Phone

(787) 977-0707

Fax

(787) 977-0708

NPI assigned

Apr 26, 2023

Last updated

Apr 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Dietetiko LLC

  • Registered Dietitian
  • Bayamon, PR
  • NPI 1003641127

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1114615309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19536",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009101536",
            "telephone_number": "787-458-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 AVE PONCE DE LEON STE 1105",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009091722",
            "telephone_number": "787-977-0707",
            "fax_number": "787-977-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIZARRY",
        "first_name": "EMILY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "PR",
            "license": "660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariana Gabriela Irizarry Torres
• Marta Teresa Irizarry-Egipciaco, PA
• Emily Enid Irizarry-Pagan, M.D.
• Astrid E Irizarry
• Caroline M. Irizarry, MSW
• Gladys M Irizarry, M.D.
• Jenitza Irizarry
• Jessica Irizarry, M.T
• Jose R. Irizarry, M.D.
• Karina Irizarry

• Medical Physician Assistant in San Juan, PR
• Providers in San Juan, PR by specialty
• Medical Physician Assistant in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.