Individual provider Active NPI

Mauro Iranzo, M.D.

  • Surgery Physician
  • Carolina, PR
National Provider Identifier
1871585208
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
15344 Issued in PR
Practice address
Upr Hospital-65TH Infanteria Ave.
3Rd Floor-DPT. of Surgery
Carolina, PR 00984
Phone
(787) 757-1800
NPI assigned
Aug 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 15344 PR Primary

Addresses

Primary practice location

Upr Hospital-65TH Infanteria Ave.
3Rd Floor-DPT. of Surgery
Carolina, PR 00984

Mailing address

138 Ave Winston Churchill
PMB 526
San Juan, PR 00926-6013
Phone (787) 292-7021

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
I20050805000535 PR Practitioner - General Surgery 1052340445 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Puerto Rico School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recinto de Ciencias MedicasGroup PAC ID 3678469962, 246 clinicians

Practice addresses (Care Compare)

2 St 47
Medicina Especializada
Manati, PR 00674
Phone (787) 621-3379

65 Carr 3 KM8
Carolina, PR 00984
Phone (809) 757-6420

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15344PRMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas CurrentSince Jul 1, 2005 Accepting new patients
Recinto de Ciencias Medicas Surgery CurrentSince Jul 1, 2005 Accepting new patients
Dr Mauro Iranzo General Surgeon PSC Surgery CurrentSince Feb 11, 2010 Accepting new patients
Servicios Medicos Universitarios Inc Past Accepting new patients

Locations

138 Ave Winston Churchill
San Juan, PR 00926
Phone (787) 305-8383

Interoperability endpoints

  • Direct secure messaging: mauro.iranzogonzalez@2621.securemail.prognocis.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871585208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 AVE WINSTON CHURCHILL",
            "address_2": "PMB 526",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266013",
            "telephone_number": "787-292-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UPR HOSPITAL-65TH INFANTERIA AVE.",
            "address_2": "3RD FLOOR-DPT. OF SURGERY",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00984",
            "telephone_number": "787-757-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRANZO",
        "first_name": "MAURO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "15344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.