Provider Demographics
NPI:1841414398
Name:IRIZARRY, SONIA M (RN REGISTERED NURSE)
Entity Type:Individual
Prefix:MRS
First Name:SONIA
Middle Name:M
Last Name:IRIZARRY
Suffix:
Gender:F
Credentials:RN REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:VERONA 570
Mailing Address - Street 2:CONDOMINIO CAPRIVILAS APT 309E
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924
Mailing Address - Country:US
Mailing Address - Phone:787-283-0872
Mailing Address - Fax:787-283-0872
Practice Address - Street 1:CALLE SERGIO CUEVAS BUSTAMANTE #550
Practice Address - Street 2:
Practice Address - City:HATO REY
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-763-5560
Practice Address - Fax:787-767-6600
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5808163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse