Individual provider Active NPI

Ivan Fernando Irizarry Rodriguez, M.D.

  • Internal Medicine Physician
  • Cayey, PR
National Provider Identifier
1467465773
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
14633 Issued in PR
Practice address
Edificio Profesional Hospital Menonita Cayey
Suite 307
Cayey, PR 00736
Phone
(787) 738-2871
Fax
(787) 263-6581
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 14633 PR Primary

Addresses

Primary practice location

Edificio Profesional Hospital Menonita Cayey
Suite 307
Cayey, PR 00736

Mailing address

Urb Milaville
17 Calle Corazon
San Juan, PR 00927-5120
Phone (787) 366-0517

Other practice location 1

17 Calle Corazon
Milaville
San Juan, PR 00926-5120
Phone (787) 366-0517

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
I20050803000336 PR Practitioner - Internal Medicine 0446288120 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Puerto Rico School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1519 Ave Ponce de Leon
San Juan, PR 00909-1732
Phone (787) 244-0145

Calle Corazon
17 Urb Millaville
San Juan, PR 00926-5120

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physician Providers, LLC CurrentSince Oct 5, 2024 Accepting new patients
Intellimed, PSC Internal Medicine CurrentSince Apr 30, 2003 Accepting new patients
Platinum Emergency Physicians, PSC Past Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

100 Carr 14
Ste 1
Coamo, PR 00769
Phone (787) 446-8767

1519 Ave Ponce de Leon
Ste 1119
Santurce, PR 00909
Phone (787) 244-0145

Interoperability endpoints

  • Direct secure messaging: ivan_irizarry_rodriguez@yourcarecommunity.org
  • Direct secure messaging: ivan.irizarryrodriguez@4048.securemail.prognocis.com

Organizations & group practices 3

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.

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1467465773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB MILAVILLE",
            "address_2": "17 CALLE CORAZON",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009275120",
            "telephone_number": "787-366-0517",
            "fax_number": "787-754-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO PROFESIONAL HOSPITAL MENONITA CAYEY",
            "address_2": "SUITE 307",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00736",
            "telephone_number": "787-738-2871",
            "fax_number": "787-263-6581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Calle Corazon",
            "address_2": "Milaville",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009265120",
            "country_code": "US",
            "telephone_number": "787-366-0517",
            "fax_number": "787-754-6201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRIZARRY RODRIGUEZ",
        "first_name": "IVAN",
        "middle_name": "FERNANDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "14633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

Verify at the official NPI Registry.