Dimary Irizarry, SLP M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

Ave Isla Verde 2678
Carolina, PR 00984

Phone

(787) 654-8976

NPI assigned

Mar 9, 2010

Reactivated

Feb 14, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1366765059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE ISLA VERDE 2678",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE ISLA VERDE 2678",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00984",
            "telephone_number": "787-654-8976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIZARRY",
        "first_name": "DIMARY",
        "name_prefix": "Mrs.",
        "credential": "SLP M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-09",
        "last_updated": "2017-02-14",
        "deactivation_date": "2014-01-09",
        "reactivation_date": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mauro Iranzo, M.D.
• Rosa Milagros Irene Lopez
• Luz E. Irizarry Ramos, PSY.D.
• Aida V. Irizarry
• Diana Irizarry, M.D.
• Ivette N Irizarry
• Jesus Manuel Irizarry, MSPT
• Julian Alfonso Irizarry, M.D
• Isis Fine Vision Services Inc
• Isla Verde Health and Wellness Corp.

• Speech-Language Pathologist in Carolina, PR
• Providers in Carolina, PR by specialty
• Speech-Language Pathologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.