Active NPI
Jose R. Irizarry, M.D.
- Personal Emergency Response Attendant
- San Juan, PR
National Provider Identifier
1922201342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Emergency Response Attendant
- License
- 6919
- Practice address
- Building 1 Apt. 414 Coop. Jardines de San Francisco
San Juan, PR 00927 - Phone
- (787) 764-4502
- NPI assigned
- Jun 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Emergency Response Attendant | 146D00000X | 6919 | PR | Primary |
Addresses
Primary practice location
Building 1 Apt. 414 Coop. Jardines de San Francisco
San Juan, PR 00927
Mailing address
Building 1 Apt. 414 Coop. Jardines San Francisco
San Juan, PR 00927
Phone (787) 764-4502
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6919 | Other | PR | EMERGENCY MEDICINE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6919 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922201342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BUILDING 1 APT. 414 COOP. JARDINES SAN FRANCISCO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00927",
"telephone_number": "787-764-4502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BUILDING 1 APT. 414 COOP. JARDINES DE SAN FRANCISCO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00927",
"telephone_number": "787-764-4502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRIZARRY",
"first_name": "JOSE",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "146D00000X",
"taxonomy_group": "",
"desc": "Personal Emergency Response Attendant",
"state": "PR",
"license": "6919",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMERGENCY MEDICINE",
"identifier": "6919",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.