Active NPI
Marisol Santiago Irizarry, M.D.
- Infectious Disease Physician
- Arecibo, PR
National Provider Identifier
1144776063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 19258
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210518000451 | PR | Practitioner - Infectious Disease | 0648689919 | Practice locations: Arecibo, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 19258 | PR | MD | Internal Medicine Physician |
| 19,258 | PR | MD | Student 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.
-
- General Acute Care Hospital
- Arecibo, PR
- NPI 1972531218
-
- General Acute Care Hospital
- Arecibo, PR
- NPI 1104862044
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.