Active NPI
Ivan N Suarez- Irizarry, M.D.
- Anesthesiology Physician
- Moca, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 10445
- Practice address
- 550 Concepcion Vera Ayala
Carretera 110 KM.12.2
Moca, PR 00676 - Phone
- (787) 818-6010
- NPI assigned
- Dec 21, 2005
- Last updated
- Feb 9, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 10445 | PR | Primary |
Addresses
Primary practice location
550 Concepcion Vera Ayala
Carretera 110 KM.12.2
Moca, PR 00676
Mailing address
PO Box 6409
Marina Station
Mayaguez, PR 00681-6409
Phone (787) 818-6010
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15 Calle Dr Basora N
Mayaguez, PR 00680-4833
Phone (787) 834-0101
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10445 | PR | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Susoni Health Community Services Corp | Anesthesiology | Current | Accepting new patients |
| Metro Mayaguez Inc | Current | Accepting new patients | |
| Dr Susoni Health Community Services Corp | Current | Accepting new patients | |
| Advance Anesthesia Service | Anesthesiology | Past | Accepting new patients |
Locations
15 Calle Dr Basora N
Mayaguez, PR 00680
Phone (787) 342-6120
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.
-
dba Hospital Pavia Arecibo
- General Acute Care Hospital
- Arecibo, PR
- NPI 1972531218
-
dba Hospital Pavia Arecibo
- Anesthesiology Physician
- Arecibo, PR
- NPI 1053945022
-
- Anesthesiology Physician
- Moca, PR
- NPI 1871631093
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297209600000",
"number": "1437135589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6409",
"address_2": "MARINA STATION",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006816409",
"telephone_number": "787-818-6010",
"fax_number": "787-818-6010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 CONCEPCION VERA AYALA",
"address_2": "CARRETERA 110 KM.12.2",
"city": "MOCA",
"state": "PR",
"postal_code": "00676",
"telephone_number": "787-818-6010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUAREZ- IRIZARRY",
"first_name": "IVAN",
"middle_name": "N",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-21",
"last_updated": "2011-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PR",
"license": "10445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moca, PR
- Glorimar Soto, MSW
- Jose M. Soto, LPN
- Astrid De Los a. Sotomayor
- Wanda L Sotomayor
- Specialty Intensive Care Inc
- Super Farmacia del Pueblo Inc (Super Farmacia la Monserrate)
- Super Farmacia del Pueblo Inc (Farmacia la Monserrate)
- Tactical Medic Respond Inc
- Ivan Teron-Mendez, M.D.
- The Best G Emergency Medical Service
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.