Provider Demographics
NPI:1154650943
Name:IRIZARRY-CRUZ, YASSIR (MD)
Entity Type:Individual
Prefix:DR
First Name:YASSIR
Middle Name:
Last Name:IRIZARRY-CRUZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19014 SW 17TH CT
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33029-5946
Mailing Address - Country:US
Mailing Address - Phone:787-538-7701
Mailing Address - Fax:
Practice Address - Street 1:19014 SW 17 COURT
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33029-5672
Practice Address - Country:US
Practice Address - Phone:787-750-0930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-08
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR27725R207P00000X, 208D00000X
FLME111068207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine