Individual provider Active NPI

Jorge L Irizarry-Hornedo, M.D.

  • General Practice Physician
  • Sabana Grande, PR
National Provider Identifier
1144263351
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14035 Issued in PR
Practice address
74 Calle Angel G Martinez
Sabana Grande, PR 00637-1718
Phone
(787) 873-2072
Fax
(787) 873-2072
NPI assigned
Jun 14, 2006
Last updated
Jan 23, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 14035 PR Primary

Addresses

Primary practice location

74 Calle Angel G Martinez
Sabana Grande, PR 00637-1718

Mailing address

PO Box 560479
Guayanilla, PR 00656-0479
Phone (787) 873-2072

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
I20040813000153 PR Practitioner - General Practice 8921071598 Practice locations: Sabana Grande, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

74 Calle Angel G Martinez
Sabana Grande, PR 00637-1718
Phone (787) 873-2072

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Policlinica Dr. Radames Marin Inc General Practice PastSince Aug 23, 1993 Accepting new patients
Centro de Vacunacion Policlinica Dr. Radames Marin, Inc. Past Accepting new patients

Organizations & group practices 2

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 1

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1144263351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 560479",
            "city": "GUAYANILLA",
            "state": "PR",
            "postal_code": "006560479",
            "telephone_number": "787-873-2072",
            "fax_number": "787-873-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 CALLE ANGEL G MARTINEZ",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "006371718",
            "telephone_number": "787-873-2072",
            "fax_number": "787-873-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIZARRY-HORNEDO",
        "first_name": "JORGE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sabana Grande, PR

Sources for this page

Verify at the official NPI Registry.