Individual provider Active NPI

Diana Irizarry, M.D.

  • General Practice Physician
  • Carolina, PR
National Provider Identifier
1861464059
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14662 Issued in PR
Practice address
Ave. Roberto Clemente
BLQ 111 Local 1, #50
Carolina, PR 00985
Phone
(787) 776-9400
Fax
(787) 776-9700
NPI assigned
Feb 2, 2006
Last updated
Aug 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 14662 PR Primary

Addresses

Primary practice location

Ave. Roberto Clemente
BLQ 111 Local 1, #50
Carolina, PR 00985

Mailing address

1508 Calle Marbella
Mansiones de Vistamar Marina
Carolina, PR 00983-1592
Phone (787) 776-9400

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
I20040514001189 PR Practitioner - General Practice 7719977388 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salud Integral En la Montana IncGroup PAC ID 8527972827, shared by 11 NPIs, 64 clinicians

Practice addresses (Care Compare)

12 2 Carr 152 KM
Naranjito, PR 00719

Carr 155 Ave Luis Munoz Marin
Orocovis, PR 00719
Phone (787) 867-6010

Carr 164 Sector El Desvio
Bo Achiote
Naranjito, PR 00719
Phone (787) 869-1290

PO Box
Naranjito, PR 00719

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14662PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Integral En la Montana, Inc General Practice CurrentSince Jun 29, 2021 Accepting new patients
Salud Integral En la Montana, Inc Current Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince Jun 29, 2021 Accepting new patients
Salud Integral En la Montana, Inc General Practice CurrentSince Jun 29, 2021 Accepting new patients
Salud Integral En la Montana, Inc CurrentSince Jun 29, 2021 Accepting new patients
Salud Integral En la Montana, Inc Current Accepting new patients
Salud Integral En la Montana, Inc CurrentSince Jun 29, 2021 Accepting new patients
Salud Integral En la Montana, Inc. General Practice Current Accepting new patients
Centro Medico del Turabo Inc General Practice CurrentSince Aug 3, 2016 Accepting new patients
Salud Integral En la Montana, Inc CurrentSince Jun 29, 2021 Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince Jun 29, 2021 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Aug 3, 2016 Accepting new patients
Nueva Vida de la Salud Corp General Practice Past Accepting new patients

Locations

156 Calle Barcelo
#53
Barranquitas, PR 00794
Phone (787) 857-2688

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

18 Calle Gerardo Nieves Mercado
Comerio, PR 00782

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1861464059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 CALLE MARBELLA",
            "address_2": "MANSIONES DE VISTAMAR MARINA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009831592",
            "telephone_number": "787-776-9400",
            "fax_number": "787-776-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. ROBERTO CLEMENTE",
            "address_2": "BLQ 111 LOCAL 1, #50",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00985",
            "telephone_number": "787-776-9400",
            "fax_number": "787-776-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIZARRY",
        "first_name": "DIANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.