Healthcare Provider Details

I. General information

NPI: 1962408120
Provider Name (Legal Business Name): LEILANY IRIZARRY-COLON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2005
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 NE 123RD ST
NORTH MIAMI FL
33181-2817
US

IV. Provider business mailing address

1801 NE 123RD ST
NORTH MIAMI FL
33181-2817
US

V. Phone/Fax

Practice location:
  • Phone: 305-674-5925
  • Fax: 305-674-5927
Mailing address:
  • Phone: 305-674-5925
  • Fax: 305-674-5927

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME85075
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: