Doctor Name: | YOMARIE IRIZARRY |
NPI Number: | 1093989238 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 016989 |
Business Practice Address: | 13795 Sw 147th Circle Ln Country Walk Apt.4 Miami, FL - 331868231 |
Business Phone Number: | 7862140342 |
Business Fax Number: | |
Mailing Address: | 13795 Sw 147th Circle Ln, Country Walk Apt.4 MIAMI |
State: | FL |
Postal Code: | 331868231 |
Phone Number: | 7862140342 |
Fax Number: | |
NPI Enumeration Date: | 04/18/2008 |
NPI Last Update Date: | 04/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 016989 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |