Michael Anthony Irizarry Martinez, OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

1225 Issued in PR

Practice address

Urbanizacion Perla del Sur
2421 Marginal Perla del Sur Bo. Canas Urbano
Ponce, PR 00728

Phone

(939) 400-8000

NPI assigned

Feb 5, 2020

Last updated

Feb 5, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1376175620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URBANIZACION PERLA DEL SUR",
            "address_2": "2421 MARGINAL PERLA DEL SUR BO. CANAS URBANO",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00728",
            "telephone_number": "939-400-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URBANIZACION PERLA DEL SUR",
            "address_2": "2421 MARGINAL PERLA DEL SUR BO. CANAS URBANO",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00728",
            "telephone_number": "939-400-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIZARRY MARTINEZ",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "credential": "OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "PR",
            "license": "1225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTICIAN",
            "identifier": "1225",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dariel J Irizarry de Jesus, M.D.
• Belmar A Irizarry Garces, M.D.
• Christy Marie Irizarry Garcia, PSY D
• Lydia Irizarry Gonzalez, M.D.
• Carolin Irizarry Lopez
• Yanitza Irizarry Monsegur
• Laura Cristina Irizarry Montanez
• Milton E Irizarry Quinones, MD
• Francisco Jose Irizarry Rivera, MD
• Andres Manuel Irizarry Rodriguez

• Optician in Ponce, PR
• Providers in Ponce, PR by specialty
• Optician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.