Healthcare Provider Details

I. General information

NPI: 1548124621
Provider Name (Legal Business Name): BELMAR & YAN MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 ERLICH CT
LAJAS PR
00667-2600
US

IV. Provider business mailing address

PO BOX 509
LAJAS PR
00667-0509
US

V. Phone/Fax

Practice location:
  • Phone: 787-242-2279
  • Fax:
Mailing address:
  • Phone: 787-242-2279
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. BELMAR A IRIZARRY
Title or Position: OWNER/MGR
Credential: MD
Phone: 787-242-2279