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NPI Code Detail

MEDICARE: MISS DENISE IRIZARRY

MEDICARE: MISS DENISE IRIZARRY
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
1235Z00000XSpeech-Language Pathologist05327TX

General Provider Information

NPI Number : 1760797179
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS DENISE IRIZARRY
Provider Business Mailing Address
First Line : 502 E RAMSEY RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78216-4639
Country : US
Telephone Number : 210-490-3900
Fax Number : 210-490-3911
Provider Business Practice Location Address
First Line : 502 E RAMSEY RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78216-4639
Country : US
Telephone Number : 210-490-3900
Fax Number : 210-490-3911
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2010
Last Update Date : 04/07/2022

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Directions to “ MISS DENISE IRIZARRY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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