Active NPI
Jose Juan Irizarry
- Internal Medicine Physician
- Guaynabo, PR
National Provider Identifier
1720617152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 23787
- Practice address
- D-14 Calle Parkside 6 Condominio Parkside
Apt 604
Guaynabo, PR 00968-3316 - Phone
- (787) 479-4450
- NPI assigned
- Apr 7, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 23787 | PR | Primary |
Addresses
Primary practice location
D-14 Calle Parkside 6 Condominio Parkside
Apt 604
Guaynabo, PR 00968-3316
Mailing address
D-14 Calle Parkside 6 Condominio Parkside
Apt 604
Guaynabo, PR 00968-3316
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 |
|---|---|---|---|
| 23787 | PR | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714608000000",
"number": "1720617152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "D-14 CALLE PARKSIDE 6 CONDOMINIO PARKSIDE",
"address_2": "APT 604",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009683316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "D-14 CALLE PARKSIDE 6 CONDOMINIO PARKSIDE",
"address_2": "APT 604",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009683316",
"telephone_number": "787-479-4450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRIZARRY",
"first_name": "JOSE",
"middle_name": "JUAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-07",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "23787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.