Iris A Nazario Antongiorgi, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

11538 Issued in PR

Practice address

205 Ave Lauro Pinero
Ceiba, PR 00735-2701

Phone

(787) 889-2869

NPI assigned

Mar 29, 2006

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 24, 2017.

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500854400000",
    "number": "1972564052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1558",
            "city": "LUQUILLO",
            "state": "PR",
            "postal_code": "007731558",
            "telephone_number": "787-889-2869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 AVE LAURO PINERO",
            "city": "CEIBA",
            "state": "PR",
            "postal_code": "007352701",
            "telephone_number": "787-889-2869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZARIO ANTONGIORGI",
        "first_name": "IRIS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2017-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "11538",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "11538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emilio Maymi
• Mayor Medical Health Services, Inc.
• Municipio de Ceiba
• Marie Ivelina Muntaner Rodriguez, M.D.
• Angel S. Muntaner-Morales, MD
• New Medical and Education Services PSC
• New Medical Quality Services
• Mei-Ling Olivero, M.D.
• Luana F Ortiz
• Karen Pagan

• All providers in Ceiba, PR
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.