Patricia Enid Irizarry, DMD, MPH

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2871 Issued in PR

Practice address

S1 Jard Fagot
Calle Valeriana
Ponce, PR 00716-4048

Phone

(787) 840-3435

NPI assigned

Apr 12, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Practice roles

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.

• Pishadent,LLC

  • Dentist
  • Ponce, PR
  • NPI 1952747545
  NPD (past)
• Ponce Dental Group

  • Dentist
  • Ponce, PR
  • NPI 1578602447
  NPD (past)

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1700176609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S1 JARD FAGOT",
            "address_2": "CALLE VALERIANA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164048",
            "telephone_number": "787-840-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S1 JARD FAGOT",
            "address_2": "CALLE VALERIANA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164048",
            "telephone_number": "787-840-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIZARRY",
        "first_name": "PATRICIA",
        "middle_name": "ENID",
        "name_prefix": "Dr.",
        "credential": "DMD, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-12",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ingrid Aime Irizarry, DMD
• Jean Carlos Irizarry
• Jessica Cristina Irizarry
• Jiselly Irizarry, MSW
• Marjorie M Irizarry
• Irl Internal Medicine LLC
• Island Chiropractic Studio, LLC
• Island Natural Health Food
• Loriane Ithier Marrero, PH. D.
• IV Home Therapy Corp

• General Practice Dentistry in Ponce, PR
• Providers in Ponce, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; 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.