Individual provider Active NPI

Jose F Irizarry Rodriguez, MD

  • Rheumatology Physician
  • Bayamon, PR
National Provider Identifier
1912920075
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
3709 Issued in PR
Practice address
501 Bayamon
Torre San Pablo
Bayamon, PR 00960
Phone
(787) 780-6700
Fax
(787) 780-1793
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 3709 PR Primary

Addresses

Primary practice location

501 Bayamon
Torre San Pablo
Bayamon, PR 00960

Mailing address

PMB 626
Calle Sierra Morena 267
San Juan, PR 00926-5639
Phone (787) 780-6700

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
I20050707000820 PR Practitioner - RheumatologyPractitioner - Internal Medicine 6103862404 Practice locations: Condado, PR; Bayamon, PR; Manati, PR

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
University of Puerto Rico School of Medicine, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Calle Jose Candelas
Manati, PR 00674-5507
Phone (787) 854-5530

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3709PRMDPharmacist

Hospital & facility affiliations 1

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1912920075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 626",
            "address_2": "CALLE SIERRA MORENA 267",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265639",
            "telephone_number": "787-780-6700",
            "fax_number": "787-780-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BAYAMON",
            "address_2": "TORRE SAN PABLO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00960",
            "telephone_number": "787-780-6700",
            "fax_number": "787-780-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIZARRY RODRIGUEZ",
        "first_name": "JOSE",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PR",
            "license": "3709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.