Individual provider Active NPI

Angel M Irizarry

  • College Health Registered Nurse
  • Guayanilla, PR
National Provider Identifier
1629958160
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
College Health Registered NurseTaxonomy code 163WC1400X
License
92814-G Issued in PR
Practice address
Barrio Sierra Baja
Carr 378 KM 4.7
Guayanilla, PR 00656-9457
Phone
(787) 543-2124
NPI assigned
Sep 4, 2025
Last updated
Oct 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 92814-G PR
College Health Registered Nurse 163WC1400X 92814-G PR Primary

Addresses

Primary practice location

Barrio Sierra Baja
Carr 378 KM 4.7
Guayanilla, PR 00656-9457

Mailing address

HC 1 Box 6040
Guayanilla, PR 00656-9457

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

LicenseStateTypeSpecialty
92814-GPRMDCollege Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1756944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1629958160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 6040",
            "city": "GUAYANILLA",
            "state": "PR",
            "postal_code": "006569457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BARRIO SIERRA BAJA",
            "address_2": "CARR 378 KM 4.7",
            "city": "GUAYANILLA",
            "state": "PR",
            "postal_code": "006569457",
            "telephone_number": "787-543-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIZARRY",
        "first_name": "ANGEL",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-04",
        "last_updated": "2025-10-24",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PR",
            "license": "92814-G",
            "primary": false
        },
        {
            "code": "163WC1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, College Health",
            "state": "PR",
            "license": "92814-G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayanilla, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.