MEDICARE: DR. FRANCISCO F NOEL 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
1	261QM1300X	Multi-Specialty Clinic/Center
2	207R00000X	Internal Medicine Physician	11872	PR

General Provider Information

NPI Number	:	1518941061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANCISCO F NOEL IRIZARRY

Provider Business Mailing Address
First Line	:	PO BOX 109
Second Line	:
City	:	SAN GERMAN
State	:	PR
Zip	:	00683-0109
Country	:	US
Telephone Number	:	787-849-3098
Fax Number	:

Provider Business Practice Location Address
First Line	:	JARDINES #3
Second Line	:
City	:	HORMIGUEROS
State	:	PR
Zip	:	00660
Country	:	US
Telephone Number	:	787-849-3098
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2005
Last Update Date	:	10/05/2023

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