Individual provider Active NPI

Dariel J Irizarry de Jesus, M.D.

  • Infectious Disease Physician
  • Ponce, PR
National Provider Identifier
1477901841
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
22663 Issued in PR
Practice address
2225 Ponce Byp Ste 407
Ponce, PR 00717-1322
Phone
(787) 840-8686
NPI assigned
May 26, 2016
Last updated
Sep 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 22663 PR Primary

Addresses

Primary practice location

2225 Ponce Byp Ste 407
Ponce, PR 00717-1322

Mailing address

126 Ext Villa Milagros
Cabo Rojo, PR 00623-4453
Phone (787) 538-3488

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
I20220806000166 PR Practitioner - Infectious Disease 1658753769 Reassigns benefits to 1 organization
Practice locations: Cabo Rojo, PR

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Damas IncGroup PAC ID 2668431966, 9 clinicians

Practice addresses (Care Compare)

1010 Paseo del Veterano
Ponce, PR 00716-2001
Phone 78749201112191

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22663PRMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Anesthesia Associates LLC Current Accepting new patients
Hospital Damas Inc CurrentSince Aug 1, 2022 Accepting new patients

Locations

1010 Paseo del Veterano
Ponce, PR 00716
Phone (787) 492-0111

2213 Ponce Byp
Ponce, PR 00717
Phone (787) 368-7802

2225 Ponce Byp
Ste 407
Ponce, PR 00717
Phone (787) 349-6604

Organizations & group practices 2

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": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1477901841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 EXT VILLA MILAGROS",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006234453",
            "telephone_number": "787-538-3488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 PONCE BYP STE 407",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171322",
            "telephone_number": "787-840-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIZARRY DE JESUS",
        "first_name": "DARIEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-26",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PR",
            "license": "22663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.