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NPI Code Detail

MEDICARE: ISMAEL J VALLE IRIZARRY M.D.

MEDICARE:   ISMAEL J VALLE IRIZARRY  M.D.
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
1174400000XSpecialist19354PR
2207RC0001XClinical Cardiac Electrophysiology Physician19354PR

General Provider Information

NPI Number : 1346684099
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISMAEL J VALLE IRIZARRY M.D.
Provider Business Mailing Address
First Line : MAYAGUEZ MEDICAL CENTER
Second Line : PROFESSIONAL PLAZA-122N
City : MAYAGUEZ
State : PR
Zip : 00680-0068
Country : US
Telephone Number : 787-321-8830
Fax Number :
Provider Business Practice Location Address
First Line : MAYAGUEZ MEDICAL CENTER
Second Line : PROFESSIONAL PLAZA-122N
City : MAYAGUEZ
State : PR
Zip : 00680-0068
Country : US
Telephone Number : 787-321-8830
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2013
Last Update Date : 06/04/2025

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