Active NPI
Maritza Margarita Irizarry Colon, M.D.
- General Practice Physician
- San German, PR
National Provider Identifier
1124137856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 15270
- Practice address
- 2 Calle Estrella
San German, PR 00683-4020 - Phone
- (787) 951-9832
- NPI assigned
- Aug 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 15270 | PR | Primary |
Addresses
Primary practice location
2 Calle Estrella
San German, PR 00683-4020
Mailing address
PO Box 739
San German, PR 00683-0739
Phone (787) 381-3672
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040901000164 | PR | Practitioner - General Practice | 2567437635 | Practice locations: San German, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15270 | PR | MD | General Practice Physician |
Interoperability endpoints
- sjcmirizar@yourcarecommunity.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265068800000",
"number": "1124137856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 739",
"city": "SAN GERMAN",
"state": "PR",
"postal_code": "006830739",
"telephone_number": "787-381-3672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 CALLE ESTRELLA",
"city": "SAN GERMAN",
"state": "PR",
"postal_code": "006834020",
"telephone_number": "787-951-9832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRIZARRY COLON",
"first_name": "MARITZA",
"middle_name": "MARGARITA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2010-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "15270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San German, PR
- Instituto de Artritis del Oeste
- Instituto Hiperbarico, Inc.
- Integrated Cardiovascular Services Group LLC
- Intellectual Therapy Services LLC
- Inter American University of Puerto Rico
- Marisel Irizarry Lugo, OD
- Juan Isaac Irizarry Nieves, MD
- Ana Ivette Irizarry-Toro, MA
- Daniel A Irizarry
- Ronaldo Irizarry, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.