Carolin Irizarry Lopez

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

71739 Issued in PR

Practice address

2979 Ave Emilio Fagot
Ponce, PR 00716-3617

Phone

(787) 841-7400

NPI assigned

Oct 8, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: liza.davila@walgreens.com

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.

• Walgreen Co

  • Pharmacy
  • Ponce, PR
  • NPI 1780699686
  NPD (past)

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1619639465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2979 AVE EMILIO FAGOT",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007163617",
            "telephone_number": "787-841-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2979 AVE EMILIO FAGOT",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007163617",
            "telephone_number": "787-841-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIZARRY LOPEZ",
        "first_name": "CAROLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-08",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PR",
            "license": "71739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "71739",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Liza.davila@walgreens.com",
            "affiliation": "N",
            "address_1": "2979 Ave Emilio Fagot",
            "city": "Ponce",
            "state": "PR",
            "country_code": "US",
            "postal_code": "007163617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christian R Irizarry Cruz
• Dariel J Irizarry de Jesus, M.D.
• Belmar A Irizarry Garces, M.D.
• Christy Marie Irizarry Garcia, PSY D
• Lydia Irizarry Gonzalez, M.D.
• Michael Anthony Irizarry Martinez, OPTICIAN
• Yanitza Irizarry Monsegur
• Laura Cristina Irizarry Montanez
• Milton E Irizarry Quinones, MD
• Francisco Jose Irizarry Rivera, MD

• Registered Nurse in Ponce, PR
• Providers in Ponce, PR by specialty
• Registered Nurse in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.