Individual provider Active NPI

Javier Andres Rodriguez Irizarry, MD

  • General Practice Physician
  • Lajas, PR
National Provider Identifier
1396464202
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22942 Issued in PR
Practice address
Alturas de Lajas #1
Lajas, PR 00667
Phone
(787) 899-1441
NPI assigned
Aug 24, 2022
Last updated
Oct 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X 22942 PR
General Practice Physician 208D00000X 22942 PR Primary

Addresses

Primary practice location

Alturas de Lajas #1
Lajas, PR 00667

Mailing address

PO Box 1443
Lajas, PR 00667-1443
Phone (787) 975-8790

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
I20221028000205 PR Practitioner - General Practice 3274900634 Reassigns benefits to 2 organizations
Practice locations: Lajas, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bella Vista Hospital Inc CurrentSince Nov 1, 2022 Accepting new patients
Municipio de Guanica CurrentSince Jan 8, 2025 Accepting new patients
Municipio de Guanica General Practice CurrentSince Jan 8, 2025 Accepting new patients
Bella Vista Hospital, Inc CurrentSince Nov 1, 2022 Accepting new patients

Organizations & group practices 4

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": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1396464202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1443",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "006671443",
            "telephone_number": "787-975-8790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ALTURAS DE LAJAS #1",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "00667",
            "telephone_number": "787-899-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ IRIZARRY",
        "first_name": "JAVIER",
        "middle_name": "ANDRES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "PR",
            "license": "22942",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lajas, PR

Sources for this page

Verify at the official NPI Registry.