| Doctor Name: | MS. CARMEN D IRIZARRY |
| NPI Number: | 1356302202 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 11188 |
| Business Practice Address: | Celis Aguilera 10b Fajardo, PR - 00738 |
| Business Phone Number: | 7878016592 |
| Business Fax Number: | 7878639080 |
| Mailing Address: | G-14 Via Cumbres, La Vista SAN JUAN |
| State: | PR |
| Postal Code: | 00924 |
| Phone Number: | 7877508696 |
| Fax Number: | 7877508696 |
| NPI Enumeration Date: | 03/30/2006 |
| NPI Last Update Date: | 08/09/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 11188 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |