Healthcare Provider Details

I. General information

NPI: 1174446819
Provider Name (Legal Business Name): ISAMARIE PIZARRO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB. LA INMACULADA CALLE AGUILA 136 B10
VEGA ALTA PR
00692
US

IV. Provider business mailing address

URB. LA INMACULADA CALLE AGUILA 136 B10
VEGA ALTA PR
00692
US

V. Phone/Fax

Practice location:
  • Phone: 787-224-3063
  • Fax:
Mailing address:
  • Phone: 787-224-3063
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number7308
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: