Provider Demographics
NPI:1760756779
Name:IRIZARRY ORTIZ, MARIA DEL PILAR (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:DEL PILAR
Last Name:IRIZARRY ORTIZ
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 ERLICH CT
Mailing Address - Street 2:
Mailing Address - City:LAJAS
Mailing Address - State:PR
Mailing Address - Zip Code:00667-2614
Mailing Address - Country:US
Mailing Address - Phone:787-384-2505
Mailing Address - Fax:
Practice Address - Street 1:38 CALLE AMISTAD
Practice Address - Street 2:
Practice Address - City:LAJAS
Practice Address - State:PR
Practice Address - Zip Code:00667-2060
Practice Address - Country:US
Practice Address - Phone:787-384-2505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-08
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0559301223G0001X
FLDN208611223G0001X
PR3338122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice