| Doctor Name: | MR. CARLOS E IRIZARRY |
| NPI Number: | 1790061984 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 893 |
| Business Practice Address: | Ave. Rafael Cordero Final Esq. Troche Caguas, PR - 00725 |
| Business Phone Number: | 7877474137 |
| Business Fax Number: | 7877450559 |
| Mailing Address: | 421 Calle San Jovino, Urb. Sagrado Corazon SAN JUAN |
| State: | PR |
| Postal Code: | 009264212 |
| Phone Number: | 7877471374 |
| Fax Number: | |
| NPI Enumeration Date: | 11/01/2011 |
| NPI Last Update Date: | 11/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 893 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |