Individual provider Active NPI

Walter F. Irizarry/Campero, M.D.

  • General Practice Physician
  • Lajas, PR
National Provider Identifier
1154337335
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16,211 Issued in PR
Practice address
65 Infanteria # 7
Lajas, PR 00667
Phone
(787) 899-1768
NPI assigned
Jul 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 16,211 PR Primary

Addresses

Primary practice location

65 Infanteria # 7
Lajas, PR 00667

Mailing address

PO Box 515
Lajas, PR 00667-0515
Phone (787) 385-6657

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
I20060214000299 PR Practitioner - General Practice 7315952280 Reassigns benefits to 1 organization
Practice locations: Lajas, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

65 Infanteria
Suite 7
Lajas, PR 00667-0001
Phone (787) 899-1768

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16,211PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica de Medicina Primaria Dr Walter F Irizarrycampero General Practice CurrentSince Jul 26, 2023 Accepting new patients

Locations

7 Calle 65 de Infanteria N
Lajas, PR 00667
Phone (787) 899-1768

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154337335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 515",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "006670515",
            "telephone_number": "787-385-6657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 INFANTERIA # 7",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "00667",
            "telephone_number": "787-899-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIZARRY/CAMPERO",
        "first_name": "WALTER",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16,211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lajas, PR

Sources for this page

Verify at the official NPI Registry.