Efrain Castro Irizarry

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

000090 Issued in PR

Practice address

San German Medical Plaza, Suite 203
Carr #2 KM 174.3
San German, PR 00683

Phone

(787) 892-7690

NPI assigned

Oct 21, 2005

Last updated

Feb 1, 2024By the provider in NPPES

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

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Barry University School of Podiatric Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1871582890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1114",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006831114",
            "telephone_number": "787-892-7690",
            "fax_number": "787-892-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAN GERMAN MEDICAL PLAZA, SUITE 203",
            "address_2": "CARR #2 KM 174.3",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "787-892-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO IRIZARRY",
        "first_name": "EFRAIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2024-02-01",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PR",
            "license": "000090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diego Jose Carrillo Diaz, MD, BSN
• Jose V Carrillo, MD
• Mariloli Cartagena, PHD
• Wanda Casiano Quiles, MD
• Wanda Noemi Casiano
• Juan Salvador Ceara Tomei
• Centro Cardiovascular de San German,CSP
• Centro de Desarrollo Cognitivo
• Centro de Heridas, Corp.
• Centro de Salud Mental del Oeste

• Foot & Ankle Surgery Podiatrist in San German, PR
• Providers in San German, PR by specialty
• Foot & Ankle Surgery Podiatrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.