Individual provider Active NPI

Marisol Santiago Irizarry, M.D.

  • Infectious Disease Physician
  • Arecibo, PR
National Provider Identifier
1144776063
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
19258 Issued in PR
Practice address
Hospital Pavia Arecibo
Carretera 129, KM 1.0 Av. San Luis
Arecibo, PR 00613
Phone
(787) 650-7272
Fax
(787) 767-7011
NPI assigned
Aug 31, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 19258 PR Primary
Internal Medicine Physician 207R00000X 19258 PR
Student in an Organized Health Care Education/Training Program 390200000X 19,258 PR

Addresses

Primary practice location

Hospital Pavia Arecibo
Carretera 129, KM 1.0 Av. San Luis
Arecibo, PR 00613

Mailing address

HC 4 Box 8730
Utuado, PR 00641-7645
Phone (787) 650-7272

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
I20210518000451 PR Practitioner - Infectious DiseasePractitioner - Internal Medicine 0648689919 Practice locations: Arecibo, PR

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

301 Calle Manuel Perez Aviles
Arecibo, PR 00612-4431
Phone (787) 880-2954

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19258PRMDInternal Medicine Physician
19,258PRMDStudent in an Organized Health Care Education/Training Program

Hospital & facility affiliations 2

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": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1144776063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 4 BOX 8730",
            "city": "UTUADO",
            "state": "PR",
            "postal_code": "006417645",
            "telephone_number": "787-650-7272",
            "fax_number": "787-767-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL PAVIA ARECIBO",
            "address_2": "CARRETERA 129, KM 1.0 AV. SAN LUIS",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00613",
            "telephone_number": "787-650-7272",
            "fax_number": "787-767-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO IRIZARRY",
        "first_name": "MARISOL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PR",
            "license": "19258",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "19258",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "19,258",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.