Individual provider Active NPI

Joanelly Gonzalez-Irizarry, MD

  • General Practice Physician
  • Lares, PR
National Provider Identifier
1295412468
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
23429 Issued in PR
Practice address
2 Calle Munoz Rivera
PMB 220
Lares, PR 00669
Phone
(787) 486-4497
NPI assigned
Jun 29, 2023
Last updated
Jul 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
General Practice Physician 208D00000X 23429 PR Primary

Addresses

Primary practice location

2 Calle Munoz Rivera
PMB 220
Lares, PR 00669

Mailing address

2 Calle Munoz Rivera
PMB 220
Lares, PR 00669
Phone (787) 486-4497

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
I20231121003638 PR Practitioner - General Practice 7416305909 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Clinic LLC General Practice CurrentSince Feb 2, 2025 Accepting new patients
Platinum Emergency Physicians, PSC Past Accepting new patients

Locations

2 Calle Munoz Rivera
Lares, PR 00669
Phone (787) 486-4497

Organizations & group practices 3

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": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1295412468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CALLE MUNOZ RIVERA",
            "address_2": "PMB 220",
            "city": "LARES",
            "state": "PR",
            "postal_code": "00669",
            "telephone_number": "787-486-4497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CALLE MUNOZ RIVERA",
            "address_2": "PMB 220",
            "city": "LARES",
            "state": "PR",
            "postal_code": "00669",
            "telephone_number": "787-486-4497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-IRIZARRY",
        "first_name": "JOANELLY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lares, PR

Sources for this page

Verify at the official NPI Registry.