Doctor Name: | MRS. ANA IVETTE IRIZARRY-TORO |
NPI Number: | 1013290790 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | 4007 |
Business Practice Address: | 94 Calle Marmol Urb. Pedregal San German, PR - 006838518 |
Business Phone Number: | 9396402761 |
Business Fax Number: | |
Mailing Address: | 94 Calle Marmol, Urb. Pedregal SAN GERMAN |
State: | PR |
Postal Code: | 006838518 |
Phone Number: | 9396402761 |
Fax Number: | |
NPI Enumeration Date: | 09/20/2011 |
NPI Last Update Date: | 09/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 4007 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |