Intellimed, PSC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

14633 Issued in PR

Legal business name

INTELLIMED, PSC

Practice address

Hospital Menonita Carr #14
Suite 307, Edif Profesional
Cayey, PR 00736-3801

Phone

(787) 738-2871

Fax

(787) 263-6581

NPI assigned

Jun 15, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Ivan F Irizarry Rodriguez, M.DNPI 1467465773

Title

President

Phone

(787) 366-0517

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ivan Fernando Irizarry Rodriguez, M.D.

  • Internal Medicine Physician
  • Cayey, PR
  • NPI 1467465773
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1225390123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CALLE CORAZON",
            "address_2": "URB MILAVILLE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265120",
            "telephone_number": "787-366-0517",
            "fax_number": "787-263-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL MENONITA CARR #14",
            "address_2": "SUITE 307, EDIF PROFESIONAL",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007363801",
            "telephone_number": "787-738-2871",
            "fax_number": "787-263-6581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTELLIMED, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "IRIZARRY RODRIGUEZ",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-366-0517",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "14633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intermedic Medical Services PSC
• Ivan Fernando Irizarry Rodriguez, M.D.
• Jelisabel Irizarry
• Ramsel Jeiby Irizarry

• Internal Medicine Physician in Cayey, PR
• Providers in Cayey, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.