Wanda Irizarry Lugo

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

11046118 Issued in FL

Practice address

196 SE 36TH Ave
Homestead, FL 33033-5948

Phone

(786) 759-2002

NPI assigned

Mar 16, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1773619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1639026768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 SE 36TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330335948",
            "telephone_number": "786-759-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 SE 36TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330335948",
            "telephone_number": "786-759-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIZARRY LUGO",
        "first_name": "WANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-16",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11046118",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11046118",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Interamerican Medical Center Group LLC
• International Medical Equipment Corp
• Diriam Iriarte Mijares, FNP
• Lorenys Irias
• Reynaldo Irias
• Jose Rene Irizarry
• Maria E Irvine
• Alta B Isaac
• Beatriz Isaza, APRN
• Israel Galtes MD PA

• Acute Care Nurse Practitioner in Homestead, FL
• Providers in Homestead, FL by specialty
• Acute Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.