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NPI Code Detail

MEDICARE: ANGIENEL ASTACIO IRIZARRY MD

MEDICARE:   ANGIENEL  ASTACIO IRIZARRY  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician17799-IPR

General Provider Information

NPI Number : 1083057236
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGIENEL ASTACIO IRIZARRY MD
Provider Business Mailing Address
First Line : 355 AVE FONT MARTELO
Second Line :
City : HUMACAO
State : PR
Zip : 00791-3249
Country : US
Telephone Number : 787-852-0768
Fax Number :
Provider Business Practice Location Address
First Line : 355 AVE FONT MARTELO
Second Line :
City : HUMACAO
State : PR
Zip : 00791-3249
Country : US
Telephone Number : 787-852-0768
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2013
Last Update Date : 06/12/2026

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Directions to “ ANGIENEL ASTACIO IRIZARRY MD” Practice Location

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