Provider Demographics
NPI:1760672257
Name:COLON IRIZARRY, JAVIER E (MD)
Entity Type:Individual
Prefix:DR
First Name:JAVIER
Middle Name:E
Last Name:COLON IRIZARRY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:404 AVE PONCE DE LEON
Mailing Address - Street 2:APT 1401
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00901-2236
Mailing Address - Country:US
Mailing Address - Phone:787-642-3267
Mailing Address - Fax:787-832-1257
Practice Address - Street 1:MAYAGUEZ MEDICAL CENTER
Practice Address - Street 2:410 AVENIDA HOSTOS
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-806-2020
Practice Address - Fax:787-832-1257
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-31
Last Update Date:2012-01-05
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Provider Licenses
StateLicense IDTaxonomies
PR18043208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology