Active NPI
Sharleen Del Carmen Rodriguez Irizarry
- Physician Assistant
- San Juan, PR
National Provider Identifier
1457129769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 028
- Practice address
- Urb. San Gerardo
1700 Calle Santa Agueda
San Juan, PR 00926 - Phone
- (787) 594-9057
- NPI assigned
- Dec 15, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 028 | PR | Primary |
Addresses
Primary practice location
Urb. San Gerardo
1700 Calle Santa Agueda
San Juan, PR 00926
Mailing address
Jardines del Caribe
JJ29 Calle 37
Ponce, PR 00728
Phone (787) 594-9057
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028 | PR | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702598400000",
"number": "1457129769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "JARDINES DEL CARIBE",
"address_2": "JJ29 CALLE 37",
"city": "PONCE",
"state": "PR",
"postal_code": "00728",
"telephone_number": "787-594-9057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB. SAN GERARDO",
"address_2": "1700 CALLE SANTA AGUEDA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-594-9057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ IRIZARRY",
"first_name": "SHARLEEN",
"middle_name": "DEL CARMEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-15",
"last_updated": "2023-12-15",
"certification_date": "2023-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PR",
"license": "028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
- Jatmarie Rodriguez Hance, PSYD
- Aida Maria Rodriguez Hernandez, M.D.
- Heidy M Rodriguez Hernandez, MD
- Yimara M. Rodriguez Hernandez
- Amadis Rodriguez Hoyos
- Mary Ann Rodriguez Juarbe, MD
- Maria Del C. Rodriguez Julbe, M.D.
- Fernando Alan Rodriguez Laguna, MD
- Mariana Rodriguez Leon
- Annabelle Rodriguez Llauger, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.