Individual provider Active NPI

Efrain Feliciano Irizarry, MD

  • General Practice Physician
  • Ensenada, PR
National Provider Identifier
1942356571
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
014351 Issued in PR
Practice address
Migrant Health Center, Inc.
Bo Montalva 23
Ensenada, PR 00647
Phone
(787) 821-3377
Fax
(787) 821-5328
NPI assigned
Jan 26, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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
General Practice Physician 208D00000X 014351 PR Primary

Addresses

Primary practice location

Migrant Health Center, Inc.
Bo Montalva 23
Ensenada, PR 00647

Mailing address

PO Box 7128
Migrant Health Center, Inc.
Mayaguez, PR 00681-7128
Phone (787) 805-7360

Other identifiers 1

IdentifierTypeStateIssuer
7082OtherPRPROVEEDOR IMC

Other names 1

  • Dr. Efrain Feliciano Irizarry Professional name

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
I20130520000306 PR Practitioner - General Practice 7618114273 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14351PRMDClinical Social Worker
014351PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Migrant Health Center Western Region, Inc. CurrentSince Dec 18, 2012 Accepting new patients
Migrant Health Center Western Region,Inc CurrentSince Dec 18, 2012 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942356571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7128",
            "address_2": "MIGRANT HEALTH CENTER, INC.",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006817128",
            "telephone_number": "787-805-7360",
            "fax_number": "787-834-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MIGRANT HEALTH CENTER, INC.",
            "address_2": "BO MONTALVA 23",
            "city": "ENSENADA",
            "state": "PR",
            "postal_code": "00647",
            "telephone_number": "787-821-3377",
            "fax_number": "787-821-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICIANO IRIZARRY",
        "first_name": "EFRAIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "014351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVEEDOR IMC",
            "identifier": "7082",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EFRAIN",
            "last_name": "FELICIANO IRIZARRY",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ensenada, PR

Sources for this page

Verify at the official NPI Registry.