Astrid E Irizarry

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

008171 Issued in PR

Practice address

120 Ave la Sierra # 3102
San Juan, PR 00926-4344

Phone

(939) 788-0941

NPI assigned

Dec 6, 2024

Last updated

Dec 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1733443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733529600000",
    "number": "1962218727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 AVE LA SIERRA # 3102",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264344",
            "telephone_number": "939-788-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 AVE LA SIERRA # 3102",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264344",
            "telephone_number": "939-788-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIZARRY",
        "first_name": "ASTRID",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-06",
        "last_updated": "2024-12-07",
        "certification_date": "2024-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "008171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eduardo Andres Irizarry Nieves, M.D.
• Luis Enrique Irizarry Nieves, MD
• Mariana Gabriela Irizarry Torres
• Marta Teresa Irizarry-Egipciaco, PA
• Emily Enid Irizarry-Pagan, M.D.
• Caroline M. Irizarry, MSW
• Emily Irizarry, MD
• Gladys M Irizarry, M.D.
• Jenitza Irizarry
• Jessica Irizarry, M.T

• Clinical Psychologist in San Juan, PR
• Providers in San Juan, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.