Individual provider Active NPI

Damaris Rodriguez Irizarry, M.D.

  • Obstetrics & Gynecology Physician
  • Brandon, FL
National Provider Identifier
1902961436
Registry record updated Sep 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME112175 Issued in FL
Practice address
116 Parsons Park Dr
Brandon, FL 33511-6066
Phone
(813) 681-6625
NPI assigned
Dec 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME112175 FL Primary

Addresses

Primary practice location

116 Parsons Park Dr
Brandon, FL 33511-6066

Mailing address

PO Box 25317
Tampa, FL 33622-5317
Phone (813) 286-0033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20131018001557 FL Practitioner - Obstetrics/Gynecology 4385680693 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Health CurrentSince Jun 30, 2017 Accepting new patients
Florida Department of Health CurrentSince Jun 30, 2017 Accepting new patients
Women'S Care Florida LLC Obstetrics & Gynecology CurrentSince Sep 15, 2013 Accepting new patients
Recinto de Ciencias Medicas Obstetrics & Gynecology Past Accepting new patients

Locations

1805 Hobbs Rd
Auburndale, FL 33823
Phone (863) 533-1111

1749 Holt Rd
Auburndale, FL 33823
Phone (863) 965-6259

1290 Golfview Ave
#4
Bartow, FL 33830

116 Parsons Park Dr
Brandon, FL 33511
Phone (813) 681-6625

1700 Baker Dairy Rd
Haines City, FL 33844
Phone (863) 419-3252

836 Prudential Dr
Ste 1202
Jacksonville, FL 32207
Phone (904) 208-2550

3241 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 413-2620

13149 Elk Mountain Dr
Riverview, FL 33579
Phone (813) 675-8326

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

850966 US Highway 17
Yulee, FL 32097
Phone (904) 321-2229

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.

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379635200000",
    "number": "1902961436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25317",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336225317",
            "telephone_number": "813-286-0033",
            "fax_number": "813-282-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 PARSONS PARK DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116066",
            "telephone_number": "813-681-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ IRIZARRY",
        "first_name": "DAMARIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2013-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME112175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.