Individual provider Active NPI

Edith Irizarry Toledo, M.D.

  • Specialist
  • Ponce, PR
National Provider Identifier
1457557811
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
12338 Issued in PR
Practice address
Building Parra 2225 Ponce by Pass
Suite 103
Ponce, PR 00717-1320
Phone
(787) 842-2478
Fax
(787) 841-2818
NPI assigned
Jun 22, 2007
Last updated
Feb 2, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 12338 PR Primary

Addresses

Primary practice location

Building Parra 2225 Ponce by Pass
Suite 103
Ponce, PR 00717-1320

Mailing address

Hac. del Monte Paseo Constancia
5023
Ponce, PR 00780
Phone (787) 259-8420

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
I20100513000342 PR Practitioner - Diagnostic Radiology 2062540909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Puerto Rico School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caribbean Imaging and Radiation Treatment Center IncGroup PAC ID 4486782307, 12 clinicians

Practice addresses (Care Compare)

2225 Parra by Pass
Ponce, PR 00717-1320
Phone (787) 842-2478

54 Calle Marginal
Guayama, PR 00784-4039
Phone (787) 686-0090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12338PRMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Caribbean Imaging and Radiation Treatment Center,Inc CurrentSince Nov 8, 2009 Accepting new patients

Locations

2225 Ponce Byp
Ste 103
Ponce, PR 00717
Phone (787) 842-2478

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265068800000",
    "number": "1457557811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HAC. DEL MONTE PASEO CONSTANCIA",
            "address_2": "5023",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00780",
            "telephone_number": "787-259-8420",
            "fax_number": "787-841-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BUILDING PARRA 2225 PONCE BY PASS",
            "address_2": "SUITE 103",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171320",
            "telephone_number": "787-842-2478",
            "fax_number": "787-841-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIZARRY TOLEDO",
        "first_name": "EDITH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2010-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "12338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.