Idalia Irizarry-Castillo, MHSN, LND, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2169 Issued in PR

Practice address

351 Ave Hostos Ste 205
Mayaguez, PR 00680-1503

Phone

(787) 831-5831

NPI assigned

Apr 5, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Iic LLC

  • Clinic/Center
  • Mayaguez, PR
  • NPI 1538844782
  NPD Authorized official

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1942995154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 6100",
            "city": "GUAYANILLA",
            "state": "PR",
            "postal_code": "006569444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 AVE HOSTOS STE 205",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006801503",
            "telephone_number": "787-831-5831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIZARRY-CASTILLO",
        "first_name": "IDALIA",
        "credential": "MHSN, LND, RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86071726",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PR",
            "license": "2169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iq Corporation, P.S.C.
• Franchelis Yomaris Irizarry Becerra
• Tomas H Irizarry Concepcion, M.D.
• Wilmiris Irizarry Hernandez, PHARM. D.
• Genesis Edcy Irizarry Irizarry, PHARMACIST
• Andres Neftali Irizarry, DMD
• Barbara Ivette Irizarry, MSW
• Ivonne Ramos Irizarry, BA
• Jessica M Irizarry
• Yanira M Irizarry

• Registered Dietitian in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Registered Dietitian in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.