Individual provider Active NPI

Gabriel Ignacio Irizarry Berrios, MD

  • Anesthesiology Physician
  • Caguas, PR
National Provider Identifier
1760908644
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
023662 Issued in PR
Practice address
203 Via del Rio
Caguas, PR 00725
Phone
(787) 384-5283
NPI assigned
Aug 22, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X 023662 PR Primary

Addresses

Primary practice location

203 Via del Rio
Caguas, PR 00725

Mailing address

203 Via del Rio
Caguas, PR 00725-3371
Phone (787) 384-5283

Other practice location 1

203 Via del Rio
Urb Valle San Luis
Caguas, PR 00725
Phone (787) 384-5283

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250303000171 PR Practitioner - Pain ManagementPractitioner - Anesthesiology 4587994082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
University of Puerto Rico School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

500 Ave San Luis
Suite 101 Carr 129 KM 11
Arecibo, PR 00612-3641
Phone (787) 690-3724

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
023662PRMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Irizarry Medical Care LLC Multi-Specialty CurrentSince Jan 1, 2025 Accepting new patients

Locations

654 Ave Munoz Rivera
Ste 1725
San Juan, PR 00918
Phone (787) 509-9494

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1760908644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 VIA DEL RIO",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253371",
            "telephone_number": "787-384-5283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 VIA DEL RIO",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-384-5283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 Via del Rio",
            "address_2": "Urb Valle San Luis",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "00725",
            "country_code": "US",
            "telephone_number": "787-384-5283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRIZARRY BERRIOS",
        "first_name": "GABRIEL",
        "middle_name": "IGNACIO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-22",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "PR",
            "license": "023662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.