Jiselly Irizarry, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10879 Issued in PR

Practice address

Calle Sol # 120
Centro Ponceno de Autismo
Ponce, PR 00730-4810

Phone

(787) 284-2900

NPI assigned

Sep 28, 2011

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Centro Ponceno de Autismo

  • Pediatric Neurodevelopmental Disabilities Physician
  • Ponce, PR
  • NPI 1891091047
  NPD (past)

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1417230210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CALLE 10",
            "address_2": "NUEVA VIDA, EL TUQUE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007303318",
            "telephone_number": "787-605-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE SOL # 120",
            "address_2": "CENTRO PONCENO DE AUTISMO",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007304810",
            "telephone_number": "787-284-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIZARRY",
        "first_name": "JISELLY",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-28",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "10879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MSW LICENSE",
            "identifier": "10879",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elmer Luis Irizarry, M.D.
• Francheska Irizarry, LND
• Ingrid Aime Irizarry, DMD
• Jean Carlos Irizarry
• Jessica Cristina Irizarry
• Marjorie M Irizarry
• Patricia Enid Irizarry, DMD, MPH
• Irl Internal Medicine LLC
• Island Chiropractic Studio, LLC
• Island Natural Health Food

• Clinical Social Worker in Ponce, PR
• Providers in Ponce, PR by specialty
• Clinical Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.