Carmen D Irizarry Ceballos, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

11188 Issued in PR

Practice address

Celis Aguilera 10B
Fajardo, PR 00738

Phone

(787) 801-6592

Fax

(787) 863-9080

NPI assigned

Mar 30, 2006

Last updated

Mar 17, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Family PracticeAlso: General Practice

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1356302202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G14 VIA CUMBRES",
            "address_2": "LA VISTA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009244475",
            "telephone_number": "787-750-8696",
            "fax_number": "787-750-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CELIS AGUILERA 10B",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-801-6592",
            "fax_number": "787-863-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIZARRY CEBALLOS",
        "first_name": "CARMEN",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-30",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "11188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gustavo Adolfo Infante Nerys, MD
• Instituto Neuropsicoterapeutico Dr. del Valle Ortiz Inc
• Integra Medical Group
• Integrate Community Health System (Metro Pavia Clinic Fajardo)
• Intercambios Puerto Rico, Inc
• J.I.L. Pharmacy Care Inc. (Farmacia San Miguel)
• Jekade,Inc.
• Jerico Ambulance Services
• Ramon E Jimenez Dietsch
• Cristobal Jimenez-Gonzalez, MD

• General Practice Physician in Fajardo, PR
• Providers in Fajardo, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.

Verify at the official NPI Registry.