Rafael Ivan Iriarte, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

6298 Issued in PR

Practice address

Ana Dolores Perez Marchand Street
Urbanizacion Industrial Reparada
Ponce, PR 00732-7004

Phone

(787) 284-3618

Fax

(787) 284-3619

NPI assigned

Feb 19, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1396913836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7004",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007327004",
            "telephone_number": "787-284-3618",
            "fax_number": "787-284-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ANA DOLORES PEREZ MARCHAND STREET",
            "address_2": "URBANIZACION INDUSTRIAL REPARADA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007327004",
            "telephone_number": "787-284-3618",
            "fax_number": "787-284-3619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIARTE",
        "first_name": "RAFAEL",
        "middle_name": "IVAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "6298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Intercede
• Intermed, LLC
• Internal Medicine Perioperative Consultants PSC
• Internal Medicine Perioperative Consultants, PSC
• Invasive Gastro-Intestinal Medical Service PSC
• Arelys J Irizarry Camacho, PHD
• Christian R Irizarry Cruz
• Dariel J Irizarry de Jesus, M.D.
• Belmar A Irizarry Garces, M.D.
• Christy Marie Irizarry Garcia, PSY D

• Family Medicine Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• Family Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.