Andres Neftali Irizarry, DMD

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

3395 Issued in PR

Practice address

351 Ave Hostos Ste 214
Mayaguez, PR 00680-1503

Phone

(787) 806-2442

Fax

(787) 806-2444

NPI assigned

Sep 14, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• In Prosthodontics LLC

  • Prosthodontics
  • Mayaguez, PR
  • NPI 1083437172
  NPD

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1497425359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 3548",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "006679018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 AVE HOSTOS STE 214",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006801503",
            "telephone_number": "787-806-2442",
            "fax_number": "787-806-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIZARRY",
        "first_name": "ANDRES",
        "middle_name": "NEFTALI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-14",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "PR",
            "license": "3395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "LAJAS",
            "affiliation": "N",
            "address_1": "Carr.116 km 6.2 int portal parguera calle b #4",
            "city": "Lajas",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Mayaguez",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "351 Ave Hostos Ste 214",
            "city": "Mayaguez",
            "state": "PR",
            "country_code": "US",
            "postal_code": "006801503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Franchelis Yomaris Irizarry Becerra
• Tomas H Irizarry Concepcion, M.D.
• Wilmiris Irizarry Hernandez, PHARM. D.
• Genesis Edcy Irizarry Irizarry, PHARMACIST
• Idalia Irizarry-Castillo, MHSN, LND, RDN
• Barbara Ivette Irizarry, MSW
• Ivonne Ramos Irizarry, BA
• Jessica M Irizarry
• Yanira M Irizarry
• Islacare Medical Services, LLC

• Prosthodontics in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Prosthodontics in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.