Emmanuel J Izquierdo, PSY. D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3376 Issued in PR

Practice address

1750 Calle Loiza
San Juan, PR 00911-1819

Phone

(787) 529-7443

NPI assigned

Jul 14, 2009

Sex

Male

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

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": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247529600000",
    "number": "1790915536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 CALLE LOIZA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009111819",
            "telephone_number": "787-529-7443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 CALLE LOIZA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009111819",
            "telephone_number": "787-529-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZQUIERDO",
        "first_name": "EMMANUEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PSY. D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivan Ayala, Cardiologia Y Algo Mas, C.S.P.
• Mercedes I Izagas, RPH
• Bernardo Izaguirre, MD, FAAP
• Natalio Izquierdo Encarnacion, MD
• Carmen Rita Izquierdo, M.D.
• Victoria Maria Izquierdo
• J.M. Urology, C.S.P.
• J.R.a.Gastroenterology
• Jab Ophthalmics, PSC
• Jaime J Jackson Diaz, MD

• Clinical Psychologist in San Juan, PR
• Providers in San Juan, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.