Individual provider Active NPI

Lizi Chirino Yturriaga, M.D.

  • General Practice Physician
  • Carolina, PR
National Provider Identifier
1861709800
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
18026 Issued in PR
Practice address
26 Calle Mar Amarillo
Carolina, PR 00979-6359
Phone
(787) 400-6354
NPI assigned
Sep 13, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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 18026 PR Primary

Addresses

Primary practice location

26 Calle Mar Amarillo
Carolina, PR 00979-6359

Mailing address

26 Calle Mar Amarillo
Carolina, PR 00979-6359
Phone (787) 400-6354

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
I20120927000533 PR Practitioner - General Practice 7517116064 Practice locations: Aguas Buenas, PR; Caguas, PR

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284336000000",
    "number": "1861709800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 CALLE MAR AMARILLO",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009796359",
            "telephone_number": "787-400-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 CALLE MAR AMARILLO",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009796359",
            "telephone_number": "787-400-6354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIRINO YTURRIAGA",
        "first_name": "LIZI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.