Provider Demographics
NPI:1750679379
Name:IRIZARRY GARCES, BELMAR A (MD)
Entity Type:Individual
Prefix:DR
First Name:BELMAR
Middle Name:A
Last Name:IRIZARRY GARCES
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:PO BOX 509
Mailing Address - Street 2:
Mailing Address - City:LAJAS
Mailing Address - State:PR
Mailing Address - Zip Code:00667-0509
Mailing Address - Country:US
Mailing Address - Phone:787-242-2279
Mailing Address - Fax:
Practice Address - Street 1:CARRETERA #10 KM 46.2
Practice Address - Street 2:BARRIO RIO ABAJO
Practice Address - City:UTUADO
Practice Address - State:PR
Practice Address - Zip Code:00641-9517
Practice Address - Country:US
Practice Address - Phone:787-894-2593
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-17
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME120944207R00000X
KY53696207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine