Irizarry, Jose Ramon

Irizarry, Jose Ramon is an sole proprietor health care provider with primary practice located at 1350 Hickory St , Melbourne FL 32901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Irizarry, Jose Ramon can be contacted via phone (407) 975-0406.

Contact Information

Primary practice address
1350 Hickory St Melbourne FL 32901
Fax: (407) 975-0407
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 10561 Puerto Rico
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME106787 Florida

Profile Details

NPI number 1952374225
LBN Legal business name Irizarry, Jose Ramon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2006
Last updated Nov 26th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952374225 NPPES
Florida Other 106787 ME FL LICENSE
Florida Other 210561 ME FL LICENSE
Florida MEDICAID 002560700 ME FL LICENSE
Florida Other 9070106 ME FL LICENSE

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