Claudimar Colon Irizarry, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2469 Issued in PR

Practice address

SF19 Calle Amalia Paoli
Toa Baja, PR 00949-3608

Phone

(787) 795-0525

Fax

(787) 795-0525

NPI assigned

Mar 29, 2007

Sex

Female

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363737600000",
    "number": "1881713642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 EL DORADO CLB",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006929535",
            "telephone_number": "787-795-0525",
            "fax_number": "787-795-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SF19 CALLE AMALIA PAOLI",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009493608",
            "telephone_number": "787-795-0525",
            "fax_number": "787-795-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON IRIZARRY",
        "first_name": "CLAUDIMAR",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2013-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clinica Dental Jireh
• Clinica Multidisciplinaria Libelula
• Alejandra Maria Collado Yulfo, LND
• Marangely Collazo-Vega
• Luz Colon Acevedo Sr.
• Estefany Colon Lopez, OD
• Sarah I Colon Plaza, PHD
• Natalia Colon Ralat
• Francheska Michelle Colon-Bonilla
• Roberto Andres Colon-Rosa

• General Practice Dentistry in Toa Baja, PR
• Providers in Toa Baja, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.