Irizarry, Luis M

Irizarry, Luis M is an individual health care provider with primary practice located at 18404 N Tatum Blvd Suite 101, Phoenix AZ 85032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Irizarry, Luis M can be contacted via phone (602) 992-1900.

Contact Information

Primary practice address
18404 N Tatum Blvd Suite 101 Phoenix AZ 85032
Phone: (602) 992-1900
Fax: (602) 845-7450
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 28879 Arizona

Profile Details

NPI number 1487658175
LBN Legal business name Irizarry, Luis M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Sep 25th, 2013 - about 12 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 1487658175 NPPES
Arizona MEDICAID 644189

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