Active NPI
Teresa J. Irizarry-Caro, DMD
- Endodontics
- Guaynabo, PR
National Provider Identifier
1780791244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 1355
- Practice address
- 4 Camino Alejandrino
Villa Clementina
Guaynabo, PR 00969-4712 - Phone
- (787) 190-4870
- Fax
- (787) 790-1859
- NPI assigned
- Aug 23, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 1355 | PR | Primary |
Addresses
Primary practice location
4 Camino Alejandrino
Villa Clementina
Guaynabo, PR 00969-4712
Mailing address
4 Camino Alejandrino
Villa Clementina
Guaynabo, PR 00969-4712
Phone (787) 790-4870
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 |
|---|---|---|---|
| 1355 | PR | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Servicios Dentales Especializados, C.S.P. | Past | Accepting new patients |
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Guaynabo, PR
- NPI 1871315440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780791244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 CAMINO ALEJANDRINO",
"address_2": "VILLA CLEMENTINA",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009694712",
"telephone_number": "787-790-4870",
"fax_number": "787-790-1859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 CAMINO ALEJANDRINO",
"address_2": "VILLA CLEMENTINA",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009694712",
"telephone_number": "787-190-4870",
"fax_number": "787-790-1859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRIZARRY-CARO",
"first_name": "TERESA",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "PR",
"license": "1355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guaynabo, PR
- International Radiology Center & Medical Group, PSC
- International Radiology Center & Medical Group, PSC (International Radiology Center)
- International Radiology Center & Medical PSC
- Ippa Salud Coop
- Edwin Irizarry Rodriguez Sr.
- Carol Y Irizarry-Robles, PHD
- Hector L. Irizarry, M.D.
- Jose Juan Irizarry
- Juan E Irizarry, 0855B
- Leonor Irizarry, PSYD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.