Individual provider Active NPI

Ivan N Suarez- Irizarry, M.D.

  • Anesthesiology Physician
  • Moca, PR
National Provider Identifier
1437135589
Registry record updated Feb 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
10445 Issued in PR
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, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110216000609 PR Practitioner - Anesthesiology 8224219720 Reassigns benefits to 2 organizations
Practice locations: Arecibo, PR; San German, PR

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Mayaguez IncGroup PAC ID 7315038346, 2 clinicians

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

LicenseStateTypeSpecialty
10445PRMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Susoni Health Community Services Corp Anesthesiology CurrentSince Feb 17, 2021 Accepting new patients
Metro Mayaguez Inc CurrentSince May 18, 2024 Accepting new patients
Dr Susoni Health Community Services Corp CurrentSince Feb 17, 2021 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.

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

Sources for this page

Verify at the official NPI Registry.