Active NPI
Carolin Irizarry Lopez
- Registered Nurse
- Ponce, PR
National Provider Identifier
1619639465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 71739
- Practice address
- 2979 Ave Emilio Fagot
Ponce, PR 00716-3617 - Phone
- (787) 841-7400
- NPI assigned
- Oct 8, 2021
- Last updated
- Oct 8, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 71739 | PR | Primary |
Addresses
Primary practice location
2979 Ave Emilio Fagot
Ponce, PR 00716-3617
Mailing address
2979 Ave Emilio Fagot
Ponce, PR 00716-3617
Phone (787) 841-7400
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Liza.davila@walgreens.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71739 | PR | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Interoperability endpoints
- liza.davila@walgreens.com
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": "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": [],
"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": []
}Other providers in Ponce, PR
- 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
Sources for this page
- 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.